=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114821022
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMERGE PULSE MEDICAL SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/05/2026
-----------------------------------------------------
Last Update Date | 10/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 222 N CHATAIGNIER ST
-----------------------------------------------------
City | VILLE PLATTE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70586-4506
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-592-3854
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 222 N CHATAIGNIER ST
-----------------------------------------------------
City | VILLE PLATTE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70586-4506
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-592-3854
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | EUGENIA WASHINGTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 337-592-3854
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207KI0005X
-----------------------------------------------------
Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------