Azle Neuromonitoring LLC
Organization Active NPI Neurological Surgery Physician · Azle, TX
NPI 1407265259 · NPPES record last updated Aug 6, 2014
Key facts
- NPI
- 1407265259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- N8651 (TX)
- Legal business name
- AZLE NEUROMONITORING LLC
- Practice address
- 1244 Boling Ranch Road N
Azle, TX 76020 - Phone
- (817) 908-8124
- Fax
- (817) 885-7339
- NPI assigned
- Aug 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Augusto Cezar Lastimosa, M.D.
- Title
- Managing Member
- Phone
- (817) 908-8124
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | N8651 | TX | Yes |
Addresses
Primary practice location
1244 Boling Ranch Road N
Azle, TX 76020
Mailing address
1244 Boling Ranch Road N
Azle, TX 76020
Phone (817) 908-8124
Other providers in Azle, TX
- Azle Chiropractic Clinic PC
- Azle Cube Smiles PLLC
- Azle Hearing LLC
- Azle Isd
- Azle Manor Health Care, L.L.L.P.
- Azle Oxygen Supply
- Christopher Dillon Bagwell
- Ramesh Bandagorla
- Celeste Scofield Barefield
- Sarah Barnes
All providers in Azle, TX · Neurological Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.