Jacqueline B. Broadway in Houston - Family

Jacqueline B. Broadway - NPI 1760569891

Jacqueline B. Broadway is a Family in Houston, Texas. Jacqueline B. Broadway practices all healthcare services and medical treatments related to Family. The NPI Number for Jacqueline B. Broadway is 1760569891. The last update date is 2010-10-27.

Jacqueline B. Broadway's current location address is 1515 Holcombe Blvd, Houston, Texas. You can contact this provider via phone number 7137926161. The mailing address for Jacqueline B. Broadway is 1515 Holcombe Blvd, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline B. Broadway
Address 1515 Holcombe Blvd, Houston, Texas
Phone Number 7137926161
Fax Number
Sole Proprietor N
Credentials MSN, FNP

NPI Number Detail

NPI Number 1760569891
Provider Enumeration Date 2006-11-01
Last Updated Date 2010-10-27

Provider Mailing Address Detail

Address 1515 Holcombe Blvd
City Houston
State Texas (TX)
Post Code 770304009
Phone Number 7137926161
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 675246
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
154863801 TX --
8N2953 TX BCBS

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FAQs about Jacqueline B. Broadway

What is the unique 10-digit identifier code assigned to Jacqueline B. Broadway by the Centers for Medicare & Medicaid Services?

The Jacqueline B. Broadway has been issued the NPI (National Provider Identifier) 1760569891 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jacqueline B. Broadway's facilities are geographically located?

The facilities of Jacqueline B. Broadway are physically situated at the following location: 1515 Holcombe Blvd, Houston, TX, 770304009.

What is Jacqueline B. Broadway's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jacqueline B. Broadway's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

When was the Jacqueline B. Broadway's 1760569891 issued?

The Jacqueline B. Broadway's 1760569891 was issued on 2006-11-01.

As of what date was the information regarding Jacqueline B. Broadway, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jacqueline B. Broadway, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-10-27.

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