IMPULSE DIAGNOSTICS TX INC
Technologists at Vance Jackson Rd, San Antonio, TX

License number
Texas P6398
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
License number
Texas 942
Category
Technologists
Type
Electroneurodiagnostic
Owner
Name: EUGENIA ELISSEEV
Title: CEO
Phone: (210) 878-7372
Address
Address
4402 Vance Jackson Rd STE 144, San Antonio, TX 78230
National Provider ID: 1881999654
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IMPULSE DIAGNOSTICS TX, INC

20502 Oak Farm, San Antonio, TX 78258

Doing business as:
Impulse Diagnostics Tx, Inc
Registration:
Jun 24, 2008
State ID:
0800996213
Business type:
Domestic For-Profit Corporation
PRESIDENT, President:
Jenna Elisseev (PRESIDENT, President), 20502 Oak Farm, San Antonio, TX 78258
TIN:
32037374439

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