HomeNPI Verification

NPI Verification

National Provider Identifier: 1407147291

Andre Paul Broussard, MD

Individual Provider

Credentials

MD

Primary Specialty

Urology

Code: 208800000X

Practice Address

1501 KINGS HWY

SHREVEPORT, LA 711034228

Phone: 318-675-5053

NPI Enumeration Date

April 27, 2011

NPI Number

1407147291

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Andre Broussard, MD - NPI 1407147291 | Provider Verification | HormoneMap