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Dr. Augusto C.b. Lastimosa, MD
Specialist in Fort Worth, Texas
NPI 1679509715

Augusto C.b. Lastimosa is a Specialist based in Fort Worth, TX. Augusto C.b. Lastimosa practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Augusto C.b. Lastimosa is 1679509715 and holds a License No. F0555 (Texas).

The current practice location address for Augusto C.b. Lastimosa is 500 Throckmorton Street, Fort Worth, TX and can be reached out via phone at 817-908-8124 and via fax at 817-885-7339.

Location: 500 Throckmorton Street, Fort Worth, TX, 76102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679509715
Provider Name
Augusto C.b. Lastimosa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 Throckmorton Street, Fort Worth, TX, 76102
Phone Number
817-908-8124
Fax Number
817-885-7339
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1229353 05 TX
institution
Provider Business Practice Location Address Details
Address
500 Throckmorton Street
City
Fort Worth
State
Texas
Zip
76102
Phone Number
817-908-8124
Fax Number
817-885-7339
person
Provider Business Mailing Address Details
Address
500 Throckmorton Street
City
Fort Worth
State
Texas
Zip
76102
Phone Number
817-908-8124
Fax Number
817-885-7339
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
F0555 (Texas)
Definition
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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