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Dr. Craig Louis Broussard, PHD,APRN
Gerontology Nurse Practitioner in Beaumont, Texas
NPI 1235368556

Craig Louis Broussard is a Gerontology Nurse Practitioner based in Irving, TX and is specialized in Gerontology. Craig Louis Broussard practices in Beaumont, TX and has the professional credentials of PHD,APRN. The NPI Number for Craig Louis Broussard is 1235368556 and holds a License No. 250614 (Texas).

The current practice location address for Craig Louis Broussard is 3030 North St Ste 450, Beaumont, TX and can be reached out via phone at 409-832-9600 and via fax at 409-832-9610. You can also correspond with Craig Louis Broussard through the mailing address at 919 HIDDEN RDG, IRVING, TX - 75038-3813 (mailing address contact number: 469-282-2711).

Location: 3030 North St Ste 450, Beaumont, TX, 75038-3813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235368556
Provider Name
Craig Louis Broussard
Credential
PHD,APRN
Provider Entity Type
Individual
Gender
Male
Address
3030 North St Ste 450, Beaumont, TX, 75038-3813
Phone Number
409-832-9600
Fax Number
409-832-9610
Provider Enumeration Date
07/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3030 North St Ste 450
City
Beaumont
State
Texas
Zip
77702-1434
Phone Number
409-832-9600
Fax Number
409-832-9610
person
Provider Business Mailing Address Details
Address
919 Hidden Rdg
City
Irving
State
Texas
Zip
75038-3813
Phone Number
469-282-2711
Fax Number
469-282-2609
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
250614 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Wound Care
Taxonomy
163WW0000X
License No.
250614 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
250614 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
364S00000X
License No.
250614 (Texas)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Medical-Surgical
Taxonomy
364SM0705X
License No.
250614 (Texas)
Definition
Definition to come...
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