# IMPULSE DIAGNOSTICS TX INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881999654
- **Authorized official:** EUGENIA ELISSEEV (CEO)
- **Authorized official phone:** (210) 878-7372

## Contact information

- **Practice address:** 4402 VANCE JACKSON RD STE 144, SAN ANTONIO, TX 78230-5336
- **Practice address phone:** (210) 481-9032
- **Practice address fax:** (210) 568-4433
- **Mailing address:** 4402 VANCE JACKSON RD STE 144, SAN ANTONIO, TX 78230-5336
- **Mailing address phone:** (210) 481-9032
- **Mailing address fax:** (210) 568-4433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | P6398 | TX | Yes |
| 246ZE0600X | Electroneurodiagnostic Specialist/Technologist | 942 | TX | — |

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 11/18/2014
