Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Clinton Broussard

Individual provider Non-emergency Medical Transport (VAN) · NPI 1164816021

Mr. Clinton Broussard is a Non-emergency Medical Transport (VAN) in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015

Practice location Address checks out

4631 Knottynold Ln
Houston, TX 77053-1103
Phone: (832) 461-9852
Fax: (713) 433-1753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 10168489 (TX)

Record details

NPI number1164816021
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2015
Last updated in NPPESMarch 27, 2015

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