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Gary Reed Brouillette, FNP
Family Nurse Practitioner in Marshall, Texas
NPI 1780044834

Gary Reed Brouillette is a Family Nurse Practitioner based in Marshall, TX and is specialized in Family. Gary Reed Brouillette practices in Marshall, TX and has the professional credentials of FNP. The NPI Number for Gary Reed Brouillette is 1780044834 and holds a License No. AP130058 (Texas).

The current practice location address for Gary Reed Brouillette is 705 S Grove St, Marshall, TX and can be reached out via phone at 903-472-7307.

Location: 705 S Grove St, Marshall, TX, 75671-1326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780044834
Provider Name
Gary Reed Brouillette
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
705 S Grove St, Marshall, TX, 75671-1326
Phone Number
903-472-7307
Fax Number
Provider Enumeration Date
03/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP130058 01 TX TX LICENSE
institution
Provider Business Practice Location Address Details
Address
705 S Grove St
City
Marshall
State
Texas
Zip
75670-5220
Phone Number
903-472-7307
Fax Number
person
Provider Business Mailing Address Details
Address
705 S Grove St
City
Marshall
State
Texas
Zip
75670-5220
Phone Number
903-472-7307
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP130058 (Texas)
Definition
Definition to come...
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