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SOUTHVERSE IOM LLC
NPI 1992194351
Specialist in Fort Worth, TX

Active since January 22, 2015
500 THROCKMORTON STREET, UNIT 3012, FORT WORTH, TX 76102(817) 908-8124(817) 885-7339 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southverse Iom Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHVERSE IOM LLC (NPI 1992194351) is a healthcare organization registered as a specialist in Fort Worth, Texas and active in the NPI registry since January 2015. The organization lists Augusto Cezar Lastimosa, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1992194351
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHVERSE IOM LLC
Location Address500 THROCKMORTON STREET, UNIT 3012Fort Worth, TX 76102
Mailing Address500 Throckmorton Street, Unit 3012Fort Worth, TX 76102 · (817) 908-8124 · Fax (817) 885-7339
Phone(817) 908-8124
Fax(817) 885-7339
Organization SubpartNo
Authorized OfficialAugusto Cezar LastimosaManaging Member · (817) 366-4777
Enumeration DateJanuary 22, 2015
✔ NPI 1992194351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
500 THROCKMORTON STREET, Fort Worth, TX 76102
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEYVERSE IOM, LLC
Specialist/Technologist, Other (Surgical Technologist)
500 THROCKMORTON STREET, UNIT 3309
FORT WORTH, TX 76102
Tarrant County (817) 908-8124
DR. MARIA AUDRIE DE JESUS MD
Psychiatry & Neurology (Neurology)
500 THROCKMORTON STREET, UNIT 3309
FORT WORTH, TX 76102
Tarrant County (817) 908-8124
PLANOVERSE IOM LLC
Specialist/Technologist, Other (Surgical Technologist)
500 THROCKMORTON STREET, UNIT 3012
FORT WORTH, TX 76102
Tarrant County (817) 908-8124
TXIOMVERSE LLC
Specialist/Technologist, Other (Surgical Technologist)
500 THROCKMORTON STREET, UNIT 3012
FORT WORTH, TX 76102
Tarrant County (817) 908-8124
VASVERSE IOM LLC
Specialist
500 THROCKMORTON STREET, UNIT 3012
FORT WORTH, TX 76102
Tarrant County (817) 908-8124
DR. AUGUSTO C.B. LASTIMOSA M.D.
Specialist
500 THROCKMORTON STREET, UNIT 3309
FORT WORTH, TX 76102
Tarrant County (817) 908-8124
TXIOM, LLC
Specialist
500 THROCKMORTON STREET, UNIT 3012
FORT WORTH, TX 76102
Tarrant County (817) 908-8124
MASTE BONE, LLC
Specialist/Technologist, Other (Surgical Technologist)
500 THROCKMORTON STREET, UNIT 3309
FORT WORTH, TX 76102
Tarrant County (817) 908-8124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southverse Iom LLC's NPI number?

The NPI number for Southverse Iom LLC is 1992194351. It was assigned to this organization in the NPPES registry on January 22, 2015.

Where is Southverse Iom LLC located?

Southverse Iom LLC is located at 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102. The listed phone number is (817) 908-8124.

What is Southverse Iom LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southverse Iom LLC was last updated on January 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.