Healthcare Provider Details

I. General information

NPI: 1124946629
Provider Name (Legal Business Name): IMERIUM ONE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 LAKE PLAZA DR STE 200-220
SPRING TX
77389-1868
US

IV. Provider business mailing address

1401 LAKE PLAZA DRIVE 200-220
SPRING TX
77389
US

V. Phone/Fax

Practice location:
  • Phone: 281-543-9800
  • Fax:
Mailing address:
  • Phone: 281-543-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID HILTON
Title or Position: DIRECTOR
Credential:
Phone: 281-543-9800