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Search › Texas › 235Z00000X

Kelli Broussard, S.L.P

NPI 1972772077 · on the registry since 2008

Practice

Address
711 W 38th St Bldg F2
Austin, TX 78705
Phone
(512) 755-5058
Fax
(833) 964-0174
Organisation at this address
Btdi Jv, Llp
Metro Periodontics
Austin Open Mri Lp
Djay Management Llc
Symphony Healthcare Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Additional practice sites

  • 10226 Kennewick Dr, Houston, TX
  • 11216 Della Torre Dr, Austin, TX

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-27

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