Grapevineverse Iom Llc
LBN: Grapevineverse Iom Llc
Grapevineverse Iom Llc is an health care organization with primary practice located at 500 Throckmorton Street Unit 3309, Fort Worth TX 76102. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as the primary health care specialty.
Grapevineverse Iom Llc can be contacted via phone (817) 908-8124, or through Lastimosa, Augusto C via phone (817) 366-4777.
Contact Information
Primary practice address
500 Throckmorton Street Unit 3309
Fort Worth TX 76102
Phone: (817) 908-8124
Fax: (817) 885-7339
Website:
Authorized official contact:
Name: Lastimosa, Augusto C Doctor of Medicine (MD)
Phone: (817) 366-4777
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X |
Profile Details
| NPI number | 1780149922 |
|---|---|
| LBN Legal business name | Grapevineverse Iom Llc |
| DBA Doing business as | |
| Authorized official | Lastimosa, Augusto C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2019 |
| Last updated | Feb 1st, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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