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
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
2472E0500X
EEG Technician
—
—
Other
Enumeration date
05/27/2022
Last updated
03/09/2023
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