Provider Demographics
NPI:1396883799
Name:PULSE IMAGING INC
Entity type:Organization
Organization Name:PULSE IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BAHRAM
Authorized Official - Middle Name:BEN
Authorized Official - Last Name:SHAHLAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-388-2555
Mailing Address - Street 1:202 N TEXAS AVE
Mailing Address - Street 2:STE 500
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4967
Mailing Address - Country:US
Mailing Address - Phone:281-338-2555
Mailing Address - Fax:281-338-2111
Practice Address - Street 1:202 N TEXAS AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4967
Practice Address - Country:US
Practice Address - Phone:281-338-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29300000X261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X937Medicare PIN