SearchLouisiana106S00000X

Shacurious Broadus

NPI 1891619276 · on the registry since 2026 · sole proprietor

Practice

Address
800 Texas St
Vidalia, LA 71373
Phone
(985) 422-5592
Fax
(985) 422-5592

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-07

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