DR. TELLIS D BROUSSARD (NPI# 1134566516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134566516 |
| Entity Type | Individual |
| Full Name | DR. TELLIS D BROUSSARD |
| Credential | D.C |
| Practice Address |
3102 Birch Landing Ct Pearland TX 77584-6810 |
| Practice Telephone | 8326879404 |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2013-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 12109 | TX | Chiropractic Providers |
| Street Address |
3102 BIRCH LANDING CT |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578947032 | Pinnacle Chiropractic & Wellness Center | Chiropractor | 3102 Birch Landing Ct, Pearland, TX 77584-6810 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244479 | Adebola Ayeni | Chiropractor | 2810 Business Center Dr Ste 134, Pearland, TX 77584-9784 | 2020-01-24 |
| 1336662568 | Montgomery Amberson Stanley | Chiropractor | 6410 Terrell Dr, Pearland, TX 77584-6650 | 2017-07-19 |
| 1255852588 | Martin Chiropractic House Calls, LLC | Chiropractor | 2800 Broadway St Ste C129, Pearland, TX 77581-9502 | 2017-06-27 |
| 1568900017 | Rewire Chiropractic and Wellness Center | Chiropractor | 5720 Broadway St, Suite 102, Pearland, TX 77581-7944 | 2017-02-04 |
| 1912381146 | Jesse Cao | Chiropractor | 7930 Broadway St Ste 102, Pearland, TX 77581-7942 | 2015-07-17 |
| 1295133726 | Innate Vitality Chiropractic, LLC | Chiropractor | 8809 Broadway St Ste B, Pearland, TX 77584-8499 | 2014-12-16 |
| 1891196481 | Elite Chiro Group LLC | Chiropractor | 1849 Pearland Pkwy Ste 107, Pearland, TX 77581-5343 | 2014-09-15 |
| 1710388996 | Jennifer Price | Chiropractor | 9415 Broadway St Ste 121, Pearland, TX 77584-8094 | 2014-09-08 |
| 1073929642 | Michael Voissement-crone | Chiropractor | 2802 Business Center Dr Ste 102, Pearland, TX 77584-2188 | 2014-07-03 |
| 1386083079 | Kristina Kirkland Kulcak | Chiropractor | 1920 Country Place Pkwy Ste 130, Pearland, TX 77584-2282 | 2013-06-17 |
| Find all providers in PEARLAND | ||||
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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.