CLINTON BROUSSARD

HOUSTON, TX
NPI1164816021
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: TX  10168489)
Enumeration Date2015-03-27
Last Update Date2015-03-27
Business Address
Mr. CLINTON BROUSSARD
4631 KNOTTYNOLD LN
HOUSTON, TX 77053-1103
Phone number: 832-461-9852
Mailing Address
Mr. CLINTON BROUSSARD
4631 KNOTTYNOLD LN
HOUSTON, TX 77053-1103
Phone number: 832-461-9852
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