Individual
DWANE GERARD BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9055 KATY FWY STE 200, HOUSTON, TX 77024-1629
(713) 461-2915
(713) 461-5307
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6352
TX
Other
Enumeration date
06/15/2005
Last updated
01/03/2025
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