SearchLouisiana101Y00000X

Randall Broussard

NPI 1023500071 · on the registry since 2018

Practice

Address
3905 Maplewood Dr Apt 1
Sulphur, LA 70663
Phone
(337) 853-5442

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2018-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana