Organization · Type 2 NPI

Southverse Iom LLC

Specialist · Fort Worth, TX

NPI number 1992194351 Active

Practice location

500 Throckmorton Street, Unit 3012
Fort Worth, TX 76102

Call (817) 908-8124 Map

Fax (817) 885-7339

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1992194351

Southverse Iom LLC's National Provider Identifier is 1992194351, issued on Jan 22, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 22, 2015.