MYEUVERSE IOM LLC (NPI# 1346648730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346648730 |
| Entity Type | Organization |
| Organization Name | MYEUVERSE IOM LLC |
| Practice Address |
500 Throckmorton Street Unit 3012 Fort Worth TX 76102 |
| Practice Telephone | 8179088124 |
| Practice Fax Number | 8178857339 |
| Mailing Telephone | 8179088124 |
| Mailing Fax Number | 8178857339 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | DR. AUGUSTO CEZAR LASTIMOSA (PRESIDENT) |
| Authorized Official Telephone | 8173664777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| 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 |
| 1295121440 | Azleverse Neuromonitoring LLC | Specialist | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-04-14 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760836548 | Neurospine Monitoring, Pllc | Psychiatry & Neurology | 8553 N Beach St # 388, Fort Worth, TX 76244-4919 | 2016-04-19 |
| 1851737985 | Fatoumata Marie Sakho | Psychiatry & Neurology | 6800 Harris Pkwy Ste 100, Fort Worth, TX 76132-4247 | 2013-05-15 |
| 1205141041 | Babak Attaran Rezaei | Psychiatry & Neurology | 3354 Western Center Blvd, Ste 160, Fort Worth, TX 76137-1938 | 2010-08-17 |
| 1154641215 | Akemi Watkins | Psychiatry & Neurology | 901 7th Ave Ste 2200, Fort Worth, TX 76104-2722 | 2010-06-10 |
| 1588982664 | Nirav Shah | Psychiatry & Neurology | 4525 Heritage Trace Pkwy Ste 117, Fort Worth, TX 76244-8910 | 2010-05-13 |
| 1598926479 | Edward L. Kramer, D.o., P.a. | Psychiatry & Neurology | 4916 Camp Bowie Blvd, 108, Fort Worth, TX 76107-4196 | 2008-06-23 |
| 1134305899 | Kirit C Shah P C | Psychiatry & Neurology | 1550 W Rosedale St Ste 306, Fort Worth, TX 76104-7407 | 2008-01-11 |
| 1699986943 | Lavanya Latha Nagineni | Psychiatry & Neurology | 6800 Harris Pkwy, Suite 100, Fort Worth, TX 76132-4240 | 2007-05-25 |
| 1386716090 | Kirit C Shah | Psychiatry & Neurology | 800 8th Ave Ste 636, Fort Worth, TX 76104-2617 | 2006-11-15 |
| 1558449603 | Victoria K. Nwosu | Psychiatry & Neurology | 1307 Eighth Ave, 408, Fort Worth, TX 76104-4140 | 2006-11-02 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
Please comment or provide details below to improve the information on MYEUVERSE IOM 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.