| NPI | 1699832345 |
|---|---|
| Doing Business As | RICHARD K. BROUSSARD, MD |
| Entity Type | Organization |
| Authorized Contact | RICHARD KENT BROUSSARD Owner 337-269-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 018918) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-07-01 |