AZLEVERSE NEUROMONITORING LLC (NPI# 1295121440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295121440 |
| Entity Type | Organization |
| Organization Name | AZLEVERSE NEUROMONITORING LLC |
| Practice Address |
500 Throckmorton Street Unit 3012 Fort Worth TX 76102 |
| Practice Telephone | 8179085292 |
| Practice Fax Number | 8178857339 |
| Mailing Telephone | 8179085292 |
| Mailing Fax Number | 8178857339 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | DR. AUGUSTO C LASTIMOSA (MANAGING MEMBER) |
| Authorized Official Telephone | 8173664777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
500 THROCKMORTON STREET UNIT 3012 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689005019 | Brain and Ear Management, LLC | Neurological Surgery | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2013-12-11 |
| 1538617857 | Gianna E Lastimosa | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2016-09-15 |
| 1982152260 | Jennifer D Vivas | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2016-09-15 |
| 1598133241 | Tarrantverse Idm LLC | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-09-11 |
| 1114395860 | Colinasverse Iom LLC | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-09-11 |
| 1265811806 | Poonam C Benakatti | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-05-28 |
| 1316326606 | Lori E Avery | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-05-20 |
| 1407233554 | Alexis Aceves | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-04-28 |
| 1699162362 | Dave R Mendez | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-04-21 |
| 1346648730 | Myeuverse Iom LLC | Psychiatry & Neurology | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2014-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093334039 | Sport Is Religion | Specialist | 8641 Las Vegas Ct Apt 2722, Fort Worth, TX 76116-0044 | 2020-04-09 |
| 1518471986 | Tyrin W Holt | Specialist | 1540 Berckmans Rd, Fort Worth, TX 76120-1500 | 2017-11-21 |
| 1538567151 | Sarah Dimarco | Specialist | 3704 Staghorn Cir N, Fort Worth, TX 76137-6054 | 2014-12-13 |
| 1639581077 | Pre Diabetes Physician Services Inc | Specialist | 1307 8th Ave Ste 502, Fort Worth, TX 76104-4137 | 2014-05-20 |
| 1447661509 | Veronica C Zapata | Specialist | 1113 Nw 25th St, Fort Worth, TX 76164-6904 | 2014-05-12 |
| 1962835439 | Sara Syeda | Specialist | 7250 Hawkins View Dr Ste 410, Fort Worth, TX 76132-3932 | 2013-08-19 |
| 1750624417 | Jennifer C. Brooks, Md Pllc | Specialist | 909 9th Ave Ste 101, Fort Worth, TX 76104-3916 | 2013-04-01 |
| 1063766178 | Richard Eugene Smith | Specialist | 7162 Axis Ct, Fort Worth, TX 76132-3573 | 2012-10-29 |
| 1770831463 | Sharon A Guillory | Specialist | 5441 S Hulen Street, Dona's Wigs, Fort Worth, TX 76132 | 2012-08-28 |
| 1740537281 | Chu Eye Institute, P.a. | Specialist | 3017 W 7th St # 210, Fort Worth, TX 76107-2223 | 2012-08-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
Please comment or provide details below to improve the information on AZLEVERSE NEUROMONITORING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.