# LIFE PULSE DIAGNOSTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Pulse Diagnostics LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710626833
- **Authorized official:** GLORIA BROUSSARD (OWNER)
- **Authorized official phone:** (713) 691-7744

## Contact information

- **Practice address:** 6420 RICHMOND AVE STE 405, HOUSTON, TX 77057-6171
- **Practice address phone:** (713) 691-7744
- **Practice address fax:** (713) 691-6665
- **Mailing address:** 6420 RICHMOND AVE STE 405, HOUSTON, TX 77057-6171
- **Mailing address phone:** (713) 691-7744
- **Mailing address fax:** (713) 691-6665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 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