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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL A. BROUILLETTE, PHYSICIAN ASSISTANT

Active Sole Proprietor

MICHAEL A. BROUILLETTE, PHYSICIAN ASSISTANT is a Surgical Physician Assistant healthcare provider located in DALLAS, Texas. NPI 1780795492 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · DALLAS, TX

Registration Details

NPI Number
1780795492
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.91280758781 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
4500 S LANCASTER RD
DALLAS, TX, 752167167
Browse TX providers · Browse ZIP 75216
Phone
2148571850
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in DALLAS, TX

Name Credential NPI
MRS. JOANNE M. CELENZA PA-C 1629054648
JENNIE ALICEA HOCKING MPAS PA C 1801857248
GRETCHEN GAY WILSON PA 1073574232
MARGARET FINK PA 1548221179
KELLY L CAMPBELL PA 1386605913
LORI ANN TAPPEN MPAS PA C 1376505446
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.