Search › Louisiana › Psychiatry Physician
Jason Broussard, D.O
NPI 1376744771 · on the registry since 2007
Practice
- Address
- 1111 Line Ave Fl 3
Shreveport, LA 71101 - Phone
- (318) 716-4610
- Fax
- (318) 716-4690
- Organisation at this address
- Bankai Physicians Llc
Wkh Physical Medicine Physicians
Willis Knighton Medical Center, Inc.
Willis Knighton Medical Center, Inc.
Willis Knighton Medical Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-04
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