| Kathryn Broussard, FNP-C | |
|
1 Medical Center Drive, Clarendon, TX 79226 | |
| (806) 874-3531 | |
| Not Available |
| Full Name | Kathryn Broussard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1 Medical Center Drive, Clarendon, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225579774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP133750 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roadrunner Homecare | Clarendon, TX | Home health agency |
| Bsa Compassion Home Care | Amarillo, TX | Home health agency |
| Accolade Home Care | Amarillo, TX | Home health agency |
| Baptist St Anthony's Hospital | Amarillo, TX | Hospital |
| Childress Regional Medical Center | Childress, TX | Hospital |
| Quail Creek Surgical Hospital | Amarillo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarendon Family Medicine, Pllc | 0749648376 | 4 |
| Entity Name | Clarendon Family Medicine, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497458319 PECOS PAC ID: 0749648376 Enrollment ID: O20230614001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Broussard, FNP-C 1 Medical Center Drive, Clarendon, TX 79226-7807 Ph: (806) 874-3531 | Kathryn Broussard, FNP-C 1 Medical Center Drive, Clarendon, TX 79226 Ph: (806) 874-3531 |
Judith Lynn Thomas, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 508 W Barcus, Clarendon, TX 79226 Phone: 806-874-5420 |