Jessica Broussard, R. EPT, CNIM
NPI #1306395462 in Richardson, Texas
Provider Information
- NPI Number
- 1306395462
- Entity Type
- Individual
- Name
- Jessica Broussard, R. EPT, CNIM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Credential
- R. EPT, CNIM
- Enumeration Date
- Sep 29, 2016
- Last Updated
- Mar 8, 2023
Practice Location
- Address
- 1819 JAY ELL DR
- City
- Richardson
- State
- Texas
- ZIP Code
- 75081-2063
- Phone
- (888) 344-2947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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