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Organization
LIFE PULSE DIAGNOSTICS LLC
Active
Organization
LIFE PULSE DIAGNOSTICS LLC
Active
Other names
Life Pulse Diagnostics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA BROUSSARD (OWNER)
(713) 691-7744
Entity
Organization
Contact information
Practice address
6420 RICHMOND AVE STE 405, HOUSTON, TX 77057-6171
(713) 691-7744
(713) 691-6665
Mailing address
6420 RICHMOND AVE STE 405, HOUSTON, TX 77057-6171
(713) 691-7744
(713) 691-6665
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
246ZE0500X
EEG Specialist/Technologist
—
NULL
246ZE0500X
EEG Specialist/Technologist
—
—
2472E0500X
EEG Technician
—
NULL
2472E0500X
EEG Technician
—
—
Other
Enumeration date
05/27/2022
Last updated
03/09/2023
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