CRYSTAL C BROUSSARD


Address: 4809 Beechaven St, Houston, TX 77053-3704
Phone: 7134947484

CRYSTAL C BROUSSARD (NPI# 1902246572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902246572
Entity Type Individual
Full Name CRYSTAL C BROUSSARD
Practice Address 4809 Beechaven St
Houston
TX 77053-3704
Practice Telephone 7134947484
Mailing Telephone 7134947484
Enumeration Date 2013-06-27
Last Update Date 2019-06-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor Other Service Providers

Other Providers CRYSTAL BROUSSARD

NPI Name Taxonomy Address Enumeration
1588688576 Crystal R Broussard Family Medicine 837 Cypress Creek Pkwy, Suite 105, Houston, TX 77090-3423 2006-07-26
1114955846 Crystal N Broussard Internal Medicine 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 2006-06-29

Office Location

Street Address 4809 BEECHAVEN ST
City HOUSTON
State TX
Zip Code 77053-3704

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679065551 The Genesis Project Usa Private Vehicle 16366 Paiter St, Houston, TX 77053 2018-06-05
1427549625 Mary Joseph Case Manager/Care Coordinator 3830 Wimberley Hollow Ln, Houston, TX 77053 2018-05-23
1477076560 Jermaine L Brown Driver 4631 Callery Creek Dr, Houston, TX 77053 2017-07-20
1164897948 Almas Amin Nurse Practitioner 4411 Anderson Rd, Houston, TX 77053 2015-12-05
1740437201 Senior Friends, Inc. Case Manager/Care Coordinator 8001 Mchard Rd., Suite 3, Houston, TX 77053 2008-08-26
1861697799 Karing Hands Homes Hcs Counselor 4422 Knottynold, Houston, TX 77053 2007-06-20
1356372148 Bosede O Adetunji Licensed Practical Nurse 15738 Boonridge Rd, Houston, TX 77053 2006-07-06
1679546642 Joseph Ervin Hawkins Counselor 4319 Highpoint Lane, Houston, TX 77053 2006-02-09
1831352442 Evette Michelle Tryals-broussard Registered Nurse 4631 Knottynold Ln, Houston, TX 77053-1103 2008-07-03
1164816021 Clinton Broussard Non-emergency Medical Transport (VAN) 4631 Knottynold Ln, Houston, TX 77053-1103 2015-03-27
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427657659 Mipcn, Inc. Contractor 9305 Hammerly Blvd, Houston, TX 77080-5413 2020-10-19
1215534227 Michael Clark Contractor 1107 Lavender Shade Court, Houston, TX 77073 2020-10-02
1609493444 Kizzey Ann Collins Contractor 810 Skyline Trl, Houston, TX 77019-2950 2020-06-27
1417572439 Eco Azured Wade Contractor 18727 Holly Way, Houston, TX 77084-3880 2020-06-15
1356988430 Donna Marie Sanders Contractor 903 Grand Plains Dr, Houston, TX 77090-5613 2019-12-08
1194360750 Lecitha White Contractor 988 Ringold St, Houston, TX 77088-6255 2019-11-07
1699336578 Pleashette James Contractor 10113 Rosehaven Dr, Houston, TX 77051-3609 2019-06-22
1740847409 Christopher Dewayne Gardner Contractor 4251 Meadowchase Ln, Houston, TX 77014-1706 2019-05-28
1205399094 A.v.c Painting & Construction, LLC Contractor 12330 Greenmesa Dr, Houston, TX 77044-7260 2019-04-09
1326506155 Santy Enriquez Contractor 5238 Starkridge Dr, Houston, TX 77035-3028 2019-03-11
Find all providers in HOUSTON

Competitor

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City HOUSTON
Zip Code 77053

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Dataset Information

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.

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