Marque D Broussard in Dallas - Emergency Medicine

Marque D Broussard - NPI 1477592764

Marque D Broussard is a Emergency Medicine in Dallas, Texas. Marque D Broussard practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Marque D Broussard is 1477592764. The last update date is 2007-07-08.

Marque D Broussard's current location address is Po Box 676065, Dallas, Texas. You can contact this provider via phone number 9048051300 and fax number 9048051302. The mailing address for Marque D Broussard is Po Box 676065, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Marque D Broussard
Address Po Box 676065, Dallas, Texas
Phone Number 9048051300
Fax Number 9048051302
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1477592764
Provider Enumeration Date 2006-06-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 676065
City Dallas
State Texas (TX)
Post Code 752676065
Phone Number 9048051300
Fax Number 9048051302

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No MD2005-0484
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A023 NM TRICARE
P00302812 NM RAILROAD MEDICARE

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FAQs about Marque D Broussard

What is the unique identification code assigned to Marque D Broussard by the Centers for Medicare & Medicaid Services?

The Marque D Broussard has been issued the NPI (National Provider Identifier) 1477592764. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Marque D Broussard?

The Marque D Broussard is situated at Po Box 676065, in the city of Dallas, state of TX, with the zip code 752676065.

What is Marque D Broussard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Marque D Broussard's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1477592764 to Marque D Broussard?

The Marque D Broussard received its 1477592764 assignment from the Centers for Medicare & Medicaid Services on 2006-06-05.

As of what date were the details related to Marque D Broussard most recently updated or revised?

The information pertaining to Marque D Broussard, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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