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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | F0555 (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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- Robert Jackson Sr.Specialist Fort Worth, TX NPI 1083148373
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- Arthur G. Garcia, MDSpecialist Fort Worth, TX NPI 1114971124
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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.