Southverse Iom LLC
Southverse Iom LLC is a Specialist in Fort Worth, Texas. Registered with an NPI since 2015.
- In the registry since
- 2015
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 3012Fort 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
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1992194351 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Augusto Lastimosa — Managing Member · (817) 366-4777 |
| NPI enumerated | January 22, 2015 |
| Last updated in NPPES | January 22, 2015 |
| Mailing address | 500 Throckmorton Street, Unit 3012, Fort Worth, TX 76102 |
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