Wilfred Broussard

NPI 1104077890 · on the registry since 2008 · sole proprietor

Practice

Address: 801 Legacy Dr Apt 2311
Plano, TX 75023
Phone: (469) 241-1866
Organisation at this address: Platinum Stars Care Rides
Paradise Care Services, Llc
Danneks Home Healthcare Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-10-01

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 Texas