Organization
IMPEL MANAGEMENT SERVICES, LLC
Active
Other names
Great Outcomes
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA KINNEY GRAYSON M.B.A. (ADMINISTRATIVE ASSISTANT)
(817) 514-5258
Entity
Organization
Contact information
Practice address
1735 KELLER SPRINGS RD, SUITE 100, CARROLLTON, TX 75006-2962
(817) 849-8296
(817) 514-5246
Mailing address
9003 AIRPORT FWY, SUITE 300, NORTH RICHLAND HILLS, TX 76180-7770
(817) 849-8296
(817) 514-5246
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
02/13/2008
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