MEDICARE: KATHERINE S PULSE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC2580	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC2580	OTHER	TX	LICENSE

General Provider Information

NPI Number	:	1760462519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE S PULSE D.C.

Provider Business Mailing Address
First Line	:	2450 FONDREN RD STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-2320
Country	:	US
Telephone Number	:	713-395-2080
Fax Number	:	713-395-2070

Provider Business Practice Location Address
First Line	:	2450 FONDREN RD STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-2320
Country	:	US
Telephone Number	:	713-395-2080
Fax Number	:	713-395-2070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	11/06/2015

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Directions to “ KATHERINE S PULSE D.C.” Practice Location

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