Provider Demographics
NPI:1760462519
Name:PULSE, KATHERINE S (DC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:S
Last Name:PULSE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 FONDREN RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2320
Mailing Address - Country:US
Mailing Address - Phone:713-395-2080
Mailing Address - Fax:713-395-2070
Practice Address - Street 1:2450 FONDREN RD STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2320
Practice Address - Country:US
Practice Address - Phone:713-395-2080
Practice Address - Fax:713-395-2070
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC2580111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDC2580OtherLICENSE
TXDC2580OtherLICENSE
TXT15390Medicare UPIN
TX600853Medicare ID - Type Unspecified