Healthcare Provider Details

I. General information

NPI: 1043649825
Provider Name (Legal Business Name): IMPAIRMENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 11/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10109 MCKALLA PL STE E
AUSTIN TX
78758-4449
US

IV. Provider business mailing address

10109 MCKALLA PL STE E
AUSTIN TX
78758-4449
US

V. Phone/Fax

Practice location:
  • Phone: 512-970-8490
  • Fax: 800-482-0591
Mailing address:
  • Phone: 512-970-8490
  • Fax: 800-482-0591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number
License Number State

VIII. Authorized Official

Name: LEON STEARNS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 512-970-8490