| Rayfus J Broussard, Dds Inc | |
|
1120 Longfellow Dr Beaumont TX 77706-4845 | |
| (409) 898-7847 | |
| Not Available |
| Full Name | Rayfus J Broussard, Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1120 Longfellow Dr, Beaumont, Texas |
| Authorized Official Name and Position | Rayfus J Broussard (ORTHODONTIST) |
| Authorized Official Contact | 4098987847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rayfus J Broussard, Dds Inc 1120 Longfellow Dr Beaumont TX 77706-4845 Ph: (409) 898-7847 | Rayfus J Broussard, Dds Inc 1120 Longfellow Dr Beaumont TX 77706-4845 Ph: (409) 898-7847 |
| NPI Number | 1669743498 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669743498 | NPI | - | NPPES |
| 164122701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11407 (Texas) | Primary |
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Nancy Endari D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2155 Dowlen Rd, Beaumont, TX 77706 Phone: 409-861-0100 Fax: 409-861-0105 | |
Andy Brian Duke, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 North St, Suite B, Beaumont, TX 77706 Phone: 409-838-3800 Fax: 409-838-0920 | |
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Affordable Dentures & Implants - Texas, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5892b Eastex Fwy, Beaumont, TX 77708 Phone: 409-892-2991 |