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Jacqueline Broda, PA-C
NPI 1114342722 · on the registry since 2014
Practice
- Address
- 6621 Fannin St
Mc 1-1410
Houston, TX 77030 - Phone
- (713) 240-7259
- Organisation at this address
- Texas Children Hospital
Diagnostic Virology Lab
Texas Childrens Hospital
Texas Childrens Hospital
Texas Children'S HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 884
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-24
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