MR. Jeremy William Brouillette, D.P.M.

NPI #1477969806 in Southlake, Texas

Provider Information

NPI Number: 1477969806
Entity Type: Individual
Name: MR. Jeremy William Brouillette, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Jul 7, 2014
Last Updated: Mar 6, 2025

Practice Location

Address: ACADEMY FOOT & ANKLE SPECIALISTS
Address 2: 1940 E. STATE HWY 114, SUITE 150
City: Southlake
State: Texas
ZIP Code: 76092-6526
Phone: (817) 424-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Podiatrist	213E00000X	Primary

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