| Joel E. Broussard Jr. D.d.s.,m.s. Inc. | |
|
11149 Research Blvd Ste 270 Austin TX 78759-5227 | |
| (512) 346-1221 | |
| (512) 502-9689 |
| Full Name | Joel E. Broussard Jr. D.d.s.,m.s. Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11149 Research Blvd Ste 270, Austin, Texas |
| Authorized Official Name and Position | Joel E Broussard (OWNER) |
| Authorized Official Contact | 5123461221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel E. Broussard Jr. D.d.s.,m.s. Inc. 11149 Research Blvd Ste 270 Austin TX 78759-5227 Ph: (512) 346-1221 | Joel E. Broussard Jr. D.d.s.,m.s. Inc. 11149 Research Blvd Ste 270 Austin TX 78759-5227 Ph: (512) 346-1221 |
| NPI Number | 1619280781 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 08/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619280781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8751 (Texas) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |