person
Mr. Harold Joseph Broussard, PA
Medical Physician Assistant in New Iberia, Louisiana
NPI 1144352287

Harold Joseph Broussard is a Medical Physician Assistant based in New Iberia, LA and is specialized in Medical. Harold Joseph Broussard practices in New Iberia, LA and has the professional credentials of PA. The NPI Number for Harold Joseph Broussard is 1144352287 and holds a License No. PA.A10075.RX (Louisiana).

The current practice location address for Harold Joseph Broussard is 2309 E Main St, New Iberia, LA and can be reached out via phone at 337-560-0931 and via fax at 337-560-0934.

Location: 2309 E Main St, New Iberia, LA, 70560-4046
person
Provider Profile Details
NPI Number
1144352287
Provider Name
Harold Joseph Broussard
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2309 E Main St, New Iberia, LA, 70560-4046
Phone Number
337-560-0931
Fax Number
337-560-0934
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA.A10075.RX 01 LA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2309 E Main St
City
State
Zip
70560-4046
Phone Number
337-560-0931
Fax Number
337-560-0934
person
Provider Business Mailing Address Details
Address
2309 E Main St
City
State
Zip
70560-4046
Phone Number
337-560-0931
Fax Number
337-560-0934
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA.A10075.RX (Louisiana)
Definition
Definition to come...
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