James Dale Broussard Jr.
James Dale Broussard Jr. is a Surgical Assistant in Houston, Texas. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
7324 SW Fwy Ste 1550Houston, TX 77074-2053
Phone: (713) 779-9800
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Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 0136000341 (VA) |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 187328 |
Record details
| NPI number | 1003434267 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2020 |
| Last updated in NPPES | July 13, 2020 |
| Certification date | July 13, 2020 |
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