Individual provider · Type 1 NPI

Augusto C.b. Lastimosa, MD

Specialist · Fort Worth, TX

NPI number 1679509715 Active

Practice location

500 Throckmorton Street, Unit 3309
Fort Worth, TX 76102

Fax (817) 885-7339

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XF0555 (TX)

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.

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About NPI 1679509715

Augusto C.b. Lastimosa, MD's National Provider Identifier is 1679509715, issued on Jun 23, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 30, 2020.