| Organization Name: | IMPEL MANAGEMENT SERVICES, LLC |
| NPI Number: | 1093752891 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CORY S LANGELY (DIAGNOSTIC OPERATIONS MANAGER) |
| Mailing Address: | 900 Airport Fwy Suite 158 Hurst |
| State: | TX US |
| Postal Code: | 760543250 |
| Phone Number: | 8175144006 |
| Fax Number: | 8175147821 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |