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Contact Information

JOHN BROUSSARD, MD
901 HARBORSIDE DR
GALVESTON, TX77550
 Phone: 786-843-7869
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JOHN BROUSSARD · (Male)

NPI Number 1326509977
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2019
Last updated 07/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # U4750
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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