Grapevineverse Iom LLC
Grapevineverse Iom LLC is a Surgical Technologist in Fort Worth, Texas. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
500 Throckmorton St Unit 3309Fort Worth, TX 76102
Phone: (817) 908-8124
Fax: (817) 885-7339
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Technologist (primary) | Taxonomy 246ZS0410X |
|---|
Record details
| NPI number | 1780149922 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Augusto Lastimosa — Managing Member · (817) 366-4777 |
| NPI enumerated | February 1, 2019 |
| Last updated in NPPES | February 1, 2019 |
| Mailing address | 500 Throckmorton Street, Unit 3309, Fort Worth, TX 76102 |
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