Marlene Marie Broussard
M.D. | Pediatrics | Female
Marlene Marie Broussard, M.D. is a Shreveport, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Marlene Marie Broussard is
1501 Kings Hwy, Department Of Pediatrics, Shreveport, Louisiana - 71103-4228. She can be contacted on phone at
318-675-8600 and fax number 318-675-8638.
Marlene Marie Broussard is a sole proprietor of her business.
NPI number (Unique professional ID) for Marlene Marie Broussard is
1144240011 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 09 Jul, 2012.
Marlene Marie Broussard license number is
024730 for Pediatrics (208000000X) in Louisiana.
Marlene Marie Broussard is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Marlene Marie Broussard basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Marlene Marie Broussard |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Marlene Marie Broussard address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1501 Kings Hwy, Department Of Pediatrics
Shreveport, LA, 71103-4228
United States |
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| Phone Number : | 318-675-8600 |
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| Fax Number : | 318-675-8638 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1144240011 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 09 Jul, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marlene Marie Broussard are as mentioned. Primary taxonomy code for Marlene Marie Broussard, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 024730 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Marlene Marie Broussard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1577995 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1512 W Kirby Pl
Shreveport, LA, 71103-3822
United States |
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| Phone Number : | 318-675-7636 |
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| Fax Number : | 318-675-8638 |
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Business Location:
Patients can refer following map for directions to
Marlene Marie Broussard practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.