Individual
MR. ELIAS VICTOR I IMPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4945 WILLIAMS DR, GEORGETOWN, TX 78633-2008
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U8742
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
U8742
TX
Other
Enumeration date
07/11/2017
Last updated
04/25/2025
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