Search › Texas › 207Q00000X
Johneca Broussard, DO
NPI 1487975447 · on the registry since 2010
Practice
- Address
- 309 Highway 59 South Loop
Livingston, TX 77351 - Phone
- (936) 327-1055
- Fax
- (936) 329-8800
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-01
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