Organization
IMPERIAL MED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB W BURDENIUK CRNFA (OWNER)
(512) 858-1575
Entity
Organization
Contact information
Practice address
188 SOUTHERN SUNSET CV, DRIFTWOOD, TX 78619-1501
(512) 858-1575
(512) 858-1804
Mailing address
PO BOX 1750, DRIPPING SPRINGS, TX 78620-1750
(512) 858-1575
(512) 858-1804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/02/2010
Last updated
09/14/2011
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