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Scotty Broussard, L.AC

NPI 1083987713 · on the registry since 2012

Practice

Address
3201 Bee Cave Rd
Suite 154
Austin, TX 78746
Phone
(512) 330-1772
Organisation at this address
Cvs Pharmacy Inc
Dalco Enterprises Inc
Ac Royal Medical Group
Data 2 Information Corp.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas