MR. CLINTON BROUSSARD
NPI 1164816021
Non-emergency Medical Transport (VAN) in Houston, TX

Q: What is Clinton Broussard's NPI number?

The NPI number for Clinton Broussard is 1164816021. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Q: What is Clinton Broussard's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

Q: When was this NPI record last updated?

The NPPES record for Clinton Broussard was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2015

4631 KNOTTYNOLD LN, HOUSTON, TX 77053(832) 461-9852(713) 433-1753 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Clinton Broussard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLINTON BROUSSARD (NPI 1164816021) is an individual non-emergency medical transport (van) provider in Houston, Texas, licensed in Texas (10168489) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1164816021

Entity TypeIndividualMale

Primary Taxonomy343900000X

Provider Legal NameMR. CLINTON BROUSSARD

Location Address4631 KNOTTYNOLD LNHouston, TX 77053-1103

Mailing Address4631 Knottynold LnHouston, TX 77053-1103 · (832) 461-9852 · Fax (713) 433-1753

Phone(832) 461-9852

Fax(713) 433-1753

Sole ProprietorYes

Enumeration DateMarch 27, 2015

✔ NPI 1164816021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services

Taxonomy Code343900000X

License✔ Licensed in TX · 10168489

Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

4631 KNOTTYNOLD LN, Houston, TX 77053

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVETTE MICHELLE TRYALS-BROUSSARD R.N.

Registered Nurse

4631 KNOTTYNOLD LN
HOUSTON, TX 77053

Harris County (713) 433-0702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Broussard's NPI number?

The NPI number for Clinton Broussard is 1164816021. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Clinton Broussard located?

Clinton Broussard practices at 4631 Knottynold Ln, Houston, TX 77053. The listed phone number is (832) 461-9852.

What is Clinton Broussard's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Clinton Broussard was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.