Azleverse Neuromonitoring LLC
NPI #1295121440 in Fort Worth, Texas
Provider Information
- NPI Number
- 1295121440
- Entity Type
- Organization
- Organization Name
- Azleverse Neuromonitoring LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 14, 2015
- Last Updated
- Apr 14, 2015
Practice Location
- Address
- 500 THROCKMORTON STREET UNIT 3012
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76102
- Phone
- (817) 908-5292
Authorized Official
- Name
- DR. AUGUSTO C LASTIMOSA, M.D.
- Title
- MANAGING MEMBER
- Phone
- (817) 366-4777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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