PAUL D BROUSSARD (NPI# 1871117788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871117788 |
| Entity Type | Individual |
| Full Name | PAUL D BROUSSARD |
| Credential | LCDC |
| Practice Address |
315 W Mclain Dr Sherman TX 75092-2605 |
| Practice Telephone | 9039574701 |
| Mailing Telephone | 9039574701 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15230 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346558210 | Paul Dallas Broussard | Pharmacist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2010-09-14 |
| 1003145988 | Paul Olivier Broussard | Pharmacist | 215 W Hanford Armona Rd, Lemoore, CA 93245-2302 | 2009-12-23 |
| 1609962612 | Paul W Broussard | Nurse Anesthetist, Certified Registered | 600 N Lewis St, New Iberia, LA 70560 | 2006-10-05 |
| Street Address |
315 W MCLAIN DR |
| City | SHERMAN |
| State | TX |
| Zip Code | 75092-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225043680 | Maria Svendsen | Speech-Language Pathologist | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2006-07-31 |
| 1932723681 | Betty A Towler | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2020-05-28 |
| 1407324981 | Erika Z Stroud | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2018-11-02 |
| 1548737612 | Lori D Marshall | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2018-10-26 |
| 1508333907 | Emily C Davis | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2018-10-24 |
| 1982197265 | Nathaniel L Lightfoot | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2018-06-11 |
| 1205328093 | Anna K Arrington | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2018-06-06 |
| 1083148845 | Amber R Denney | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2017-04-18 |
| 1780118596 | Kristi Gourd | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2017-04-18 |
| 1932650975 | Jacquelyn Christopher | Pharmacist | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2016-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869953 | Stokes & Carter Orthodontics, LLP | Clinic/Center | 2921 N. Heritage Parkway, Ste. 200, Sherman, TX 75092 | 2020-07-30 |
| 1033684543 | Brittany Shyrell Brown | Nurse Practitioner | 140 W. Lamberth Rd Ste. C, Sherman, TX 75092 | 2018-10-11 |
| 1134675333 | Sherman Select, LLC | Clinic/Center | 4226 Us Highway 75, North, Sherman, TX 75092 | 2016-08-28 |
| 1164884789 | Michelle Kay Triche | Nurse Practitioner | 1000 S. Heritage Parkway, Sherman, TX 75092 | 2016-03-23 |
| 1295109858 | Stokes Orthodontics | Dentist | 2921 N. Heritage Parkway, Suite 200, Sherman, TX 75092 | 2015-11-19 |
| 1851771810 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2210 N F.m. 1417, Sherman, TX 75092 | 2015-06-04 |
| 1629314133 | Ashley Nicole White | Counselor | 8370 Us Highway 82, Sherman, TX 75092 | 2013-01-02 |
| 1831452978 | M. Sue Jennings | Counselor | 402 W. Lamar St, Suite 104, Sherman, TX 75092 | 2012-06-22 |
| 1437447562 | Oscar Villafane | Optometrist | Long Vision Center, 2203 N Heritage Pkwy, Sherman, TX 75092 | 2011-07-11 |
| 1043443062 | Angela Renee Wright | Registered Nurse | 3415 North Heritage Parkway, Sherman, TX 75092 | 2009-08-25 |
| Find all providers in zip 75092 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710420310 | Jennifer Ralph | Counselor | 219 S Travis St, Sherman, TX 75090-7110 | 2016-11-30 |
| 1720412455 | Ann Ellen Sullivan | Counselor | 1914 Jamaica Ln, Sherman, TX 75092-2311 | 2013-08-29 |
| 1659595973 | John Joseph Kasper | Counselor | 2007 Texoma Pkwy Ste 195, Sherman, TX 75090-2667 | 2007-04-11 |
| 1437211877 | Rosemary O Piper | Counselor | 14 Blueberry Lane, Sherman, CT 06784-1808 | 2006-12-14 |
| 1932723681 | Betty A Towler | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2020-05-28 |
| 1649732728 | Dusty L Burrows | Counselor | 315 W Mclain Drive, Sherman, TX 75092-2605 | 2019-04-05 |
| 1407324981 | Erika Z Stroud | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2018-11-02 |
| 1548737612 | Lori D Marshall | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2018-10-26 |
| 1982197265 | Nathaniel L Lightfoot | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2018-06-11 |
| 1205328093 | Anna K Arrington | Counselor | 315 W Mclain Dr, Sherman, TX 75092-2605 | 2018-06-06 |
| Find all providers in SHERMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.