Provider Demographics
NPI:1295126886
Name:PULSE-BROWN MANAGEMENT LLC PULSE HEALTHCARE LLC MBR
Entity type:Organization
Organization Name:PULSE-BROWN MANAGEMENT LLC PULSE HEALTHCARE LLC MBR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DE ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-870-8133
Mailing Address - Street 1:118 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-2602
Mailing Address - Country:US
Mailing Address - Phone:405-570-4718
Mailing Address - Fax:214-594-8081
Practice Address - Street 1:1284 W VAN ALSTYNE PKWY
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-4390
Practice Address - Country:US
Practice Address - Phone:903-348-2518
Practice Address - Fax:903-482-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0664207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty