Organization
IMPULSE DIAGNOSTICS TX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENIA ELISSEEV (CEO)
(210) 878-7372
Entity
Organization
Contact information
Practice address
4402 VANCE JACKSON RD STE 144, SAN ANTONIO, TX 78230-5336
(210) 481-9032
(210) 568-4433
Mailing address
4402 VANCE JACKSON RD STE 144, SAN ANTONIO, TX 78230-5336
(210) 481-9032
(210) 568-4433
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P6398
TX
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
942
TX
Other
Enumeration date
01/25/2011
Last updated
11/18/2014
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