Paul D Broussard, LCDC is a
Counselor - Addiction (substance Use Disorder) based in Whitewright, Texas. Paul D Broussard is licensed to practice in Texas (license number 15230) and his current practice location is
505 E Grand St, Whitewright, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 227-3575.
NPI number for Paul D Broussard is 1871117788 and his current mailing address is 505 E Grand St, Whitewright, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871117788.
Healthcare Provider's Profile
| Full Name | Paul D Broussard |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 505 E Grand St, Whitewright, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871117788
- Provider Enumeration Date: 06/05/2020
- Last Update Date: 03/21/2023
Medical Identifiers
Medical identifiers for Paul D Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871117788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15230 (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. Paul D Broussard 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 |
|---|
Paul D Broussard, LCDC
505 E Grand St,
Whitewright, TX 75491-2303
Ph: (469) 364-4601 | Paul D Broussard, LCDC
505 E Grand St,
Whitewright, TX 75491-2303
Ph: (903) 227-3575 |
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