| Dr John Broussard, MD | |
|
901 Harborside Dr, Galveston, TX 77550 | |
| (786) 843-7869 | |
| Not Available |
| Full Name | Dr John Broussard |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 9 Years |
| Location | 901 Harborside Dr, Galveston, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326509977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | U4750 (Texas) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | U4750 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Jude Medical Center | Fullerton, CA | Hospital |
| Vhs Harlingen Hospital Company Llc | Harlingen, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Pathology Group Inc | 5698839637 | 6 |
| Bhs Physicians Network, Inc | 7315019593 | 721 |
| Entity Name | Signify Health Medical Associates Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124685169 PECOS PAC ID: 8325370570 Enrollment ID: O20191022000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Broussard, MD 4119 Avenue T 1/2 Unit Rr, Galveston, TX 77550-8649 Ph: (786) 843-7869 | Dr John Broussard, MD 901 Harborside Dr, Galveston, TX 77550 Ph: (786) 843-7869 |
Stephen M Pustilnik, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0890 Fax: 409-772-0885 | |
Mariangela Gomez Ferrer, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-5683 | |
Mukhayyo Ismailova, Pathology Medicare: Medicare Enrolled Practice Location: 711 Holiday Dr Apt 21, Galveston, TX 77550 Phone: 346-289-0878 | |
Jamie Clare Kendrick, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-8475 | |
Mohamed Adel Mahmoud Ahmed Youssef, MD Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2870 | |
Dmitrii Vozniuk, Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2856 | |
Eduardo Javier Eyzaguirre, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |