Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael A. Brouillette, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1780795492

Michael A. Brouillette, PHYSICIANASSISTANT is a Surgical Physician Assistant in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone: (214) 857-1850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1780795492
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address623 William Dr, Ovilla, TX 75154-3611

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