Y. Yoko Broussard MD, Apmc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

022167 Issued in LA

Legal business name

Y. YOKO BROUSSARD MD, APMC

Practice address

711 Dr. Michael Debakey Drive
Ste400
Lake Charles, LA 70601

Phone

(337) 439-2200

Fax

(337) 439-4484

NPI assigned

Jan 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Y Yoko Broussard, MD

Title

Owner

Phone

(337) 439-2200

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1992942999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 DR. MICHAEL DEBAKEY DRIVE",
            "address_2": "STE400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-439-2200",
            "fax_number": "337-439-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 DR. MICHAEL DEBAKEY DRIVE",
            "address_2": "STE400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-439-2200",
            "fax_number": "337-439-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y. YOKO BROUSSARD MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "Y",
        "authorized_official_middle_name": "YOKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-439-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "022167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483320",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Wright, BCBA
• Stacie Wright
• Steven Wright, LCSW
• Wwtransportationllc
• Emily Wyninger, FNP-C
• Kashinath Gangadhara Yadalam, MD
• Victoria Yanitor, MA
• Kelsey Yates
• Jonathan S Yellott, FNP
• Jon Anthony Yokubaitis, M.D.

• Primary Care Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.