| NPI | 1710320908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETTE ROSE BROUSSARD Family Nurse Practitioner/Owner 409-833-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX L2891) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 651610) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2022-07-21 |