Azle Neuromonitoring LLC

NPI #1407265259 in Azle, Texas

Provider Information

NPI Number: 1407265259
Entity Type: Organization
Organization Name: Azle Neuromonitoring LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Aug 6, 2014
Last Updated: Aug 6, 2014

Practice Location

Address: 1244 BOLING RANCH ROAD N
City: Azle
State: Texas
ZIP Code: 76020
Phone: (817) 908-8124

Authorized Official

Name: DR. AUGUSTO CEZAR LASTIMOSA, M.D.
Title: MANAGING MEMBER
Phone: (817) 908-8124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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