DR. Tellis D Broussard, D.C

NPI #1134566516 in Pearland, Texas

Provider Information

NPI Number: 1134566516
Entity Type: Individual
Name: DR. Tellis D Broussard, D.C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C
Enumeration Date: May 27, 2013
Last Updated: May 27, 2013

Practice Location

Address: 3102 BIRCH LANDING CT
City: Pearland
State: Texas
ZIP Code: 77584-6810
Phone: (832) 687-9404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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