Mr. Clinton Broussard
Mr. Clinton Broussard is a Non-emergency Medical Transport (VAN) in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2015
Practice location Address checks out
4631 Knottynold LnHouston, TX 77053-1103
Phone: (832) 461-9852
Fax: (713) 433-1753
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence 10168489 (TX) |
|---|
Record details
| NPI number | 1164816021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2015 |
| Last updated in NPPES | March 27, 2015 |
| Mailing address | 4631 Knottynold Ln, Houston, TX 77053-1103 |
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