David Wayne Broussard in New Braunfels - Physician Assistant
David Wayne Broussard - NPI 1487644654
David Wayne Broussard is a Physician Assistant in New Braunfels, Texas. David Wayne Broussard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Wayne Broussard is 1487644654. The last update date is 2021-09-14.
David Wayne Broussard's current location address is 717 N Business Ih 35 Ste 130, New Braunfels, Texas. You can contact this provider via phone number 8306273311 and fax number 8306273312. The mailing address for David Wayne Broussard is 717 N Business Ih 35 Ste 130, New Braunfels, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Wayne Broussard |
|---|---|
| Address | 717 N Business Ih 35 Ste 130, New Braunfels, Texas |
| Phone Number | 8306273311 |
| Fax Number | 8306273312 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1487644654 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2021-09-14 |
Provider Mailing Address Detail
| Address | 717 N Business Ih 35 Ste 130 |
|---|---|
| City | New Braunfels |
| State | Texas (TX) |
| Post Code | 781307852 |
| Phone Number | 8306273311 |
| Fax Number | 8306273312 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA02959 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to David Wayne Broussard by the Centers for Medicare & Medicaid Services?
The David Wayne Broussard has been issued the NPI (National Provider Identifier) 1487644654. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of David Wayne Broussard?
The David Wayne Broussard is physically situated at 717 N Business Ih 35 Ste 130, in the city of New Braunfels, state of TX, with the postal code 781307852.
What is David Wayne Broussard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Wayne Broussard's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487644654 to David Wayne Broussard?
The David Wayne Broussard received its 1487644654 assignment from the Centers for Medicare & Medicaid Services on 2005-10-27.
When was the information regarding David Wayne Broussard most recently updated?
The details pertaining to the David Wayne Broussard, including its address, specialty, and other relevant information, were last refreshed on 2021-09-14.