Provider Demographics
NPI:1801398011
Name:BROUGHTON, NAPOLEON
Entity Type:Individual
Prefix:
First Name:NAPOLEON
Middle Name:
Last Name:BROUGHTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20803 IMPERIAL LANDING LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1812
Mailing Address - Country:US
Mailing Address - Phone:713-483-0687
Mailing Address - Fax:
Practice Address - Street 1:20803 IMPERIAL LANDING LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1812
Practice Address - Country:US
Practice Address - Phone:713-483-0687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-03
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor