La' Toya Broughton, is a
Case Manager/care Coordinator based in Tyler, Texas. La' Toya Broughton is licensed to practice in Texas (license number ) and her current practice location is
2865 County Road 413, Tyler, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 213-5407.
NPI number for La' Toya Broughton is 1558182063 and her current mailing address is 2865 County Road 413, Tyler, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558182063.
Healthcare Provider's Profile
| Full Name | La' Toya Broughton |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 2865 County Road 413, Tyler, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558182063
- Provider Enumeration Date: 10/18/2024
- Last Update Date: 10/18/2024
Medical Identifiers
Medical identifiers for La' Toya Broughton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558182063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Secondary |
| 1744R1102X | Specialist - Research Study | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. La' Toya Broughton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
La' Toya Broughton,
2865 County Road 413,
Tyler, TX 75704-4211
Ph: (903) 213-5407 | La' Toya Broughton,
2865 County Road 413,
Tyler, TX 75704-4211
Ph: (903) 213-5407 |
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