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Clinton Broussard
NPI 1164816021 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4631 Knottynold Ln
Houston, TX 77053 - Phone
- (832) 461-9852
- Fax
- (713) 433-1753
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-27
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