Active NPI
Life Pulse Diagnostics LLC
- General Practice Physician
- Houston, TX
National Provider Identifier
1710626833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LIFE PULSE DIAGNOSTICS LLC
- Doing business as
- Life Pulse Diagnostics LLC
- Practice address
- 6420 Richmond Ave Ste 405
Houston, TX 77057-6171 - Phone
- (713) 691-7744
- Fax
- (713) 691-6665
- NPI assigned
- May 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria Broussard
- Title
- Owner
- Phone
- (713) 691-7744
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| EEG Specialist/Technologist | 246ZE0500X | |||
| EEG Technician | 2472E0500X |
Addresses
Primary practice location
6420 Richmond Ave Ste 405
Houston, TX 77057-6171
Mailing address
6420 Richmond Ave Ste 405
Houston, TX 77057-6171
Phone (713) 691-7744
Other names 1
- Life Pulse Diagnostics LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6420 Richmond Ave
Ste 405
Houston, TX 77057
Phone (713) 524-1915
13201 Northwest Fwy
Ste 425
Houston, TX 77040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- The Woodlands, TX
- NPI 1588076665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1710626833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 RICHMOND AVE STE 405",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770576171",
"telephone_number": "713-691-7744",
"fax_number": "713-691-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 RICHMOND AVE STE 405",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770576171",
"telephone_number": "713-691-7744",
"fax_number": "713-691-6665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE PULSE DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-27",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A",
"authorized_official_last_name": "BROUSSARD",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-691-7744"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZE0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "2472E0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Pulse Diagnostics LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Life Pulse Diagnostics LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
- Life Mental Health Services of Texas, LLC
- Life Milestone Services LLC
- Life New Look Hospice LLC
- Life Patterns Behavioral Health Services
- Life Plus
- Life Savers Emergency Room II, LLC
- Life Savers Emergency Room III
- Life Savers Emergency Room LLC
- Life Skills Therapy, PLLC
- Life Solutions Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.