Robert Craig Broussard in Dallas - Pulmonary Disease
Robert Craig Broussard - NPI 1821007170
Robert Craig Broussard is a Pulmonary Disease in Dallas, Texas. Robert Craig Broussard practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Robert Craig Broussard is 1821007170. The last update date is 2022-06-09.
Robert Craig Broussard's current location address is Po Box 122309, Dallas, Texas. You can contact this provider via phone number 3374942921 and fax number 3374946523. The mailing address for Robert Craig Broussard is Po Box 122309, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Craig Broussard |
|---|---|
| Address | Po Box 122309, Dallas, Texas |
| Phone Number | 3374942921 |
| Fax Number | 3374946523 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821007170 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2022-06-09 |
Provider Mailing Address Detail
| Address | Po Box 122309 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 753122309 |
| Phone Number | 3374942921 |
| Fax Number | 3374946523 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | 18460 |
|
Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1396826 | LA | -- | |
| 5J895DR91 | LA | MEDICARE |
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What is the unique identifier code issued to Robert Craig Broussard by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Craig Broussard has been assigned the NPI (National Provider Identifier) 1821007170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Robert Craig Broussard located?
The Robert Craig Broussard is located at Po Box 122309, Dallas, TX 753122309.
What is the Robert Craig Broussard's specialty and taxonomy code?
The Robert Craig Broussard's specialty is Pulmonary Disease, and the corresponding taxonomy code is 207Rp1001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821007170 to Robert Craig Broussard?
The Centers for Medicare & Medicaid Services originally issued the 1821007170 to Robert Craig Broussard on 2006-08-05.
When was the information regarding Robert Craig Broussard most recently updated?
The details pertaining to the Robert Craig Broussard, including its address, specialty, and other relevant information, were last refreshed on 2022-06-09.
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