NPI age
7 years
Enumerated 2019-02-01
● Active Type 2 · Organization
Grapevineverse Iom Llc
Grapevineverse Iom Llc is 1 of 387 specialist/technologist, other organizations in Texas.
Primary specialty
Specialist/Technologist, Other
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lastimosa
Managing Member
Last NPPES update
2019-02-01
Source: monthly bulk 2026-05
How this organization compares
Across 387 active specialist/technologist, other providers in Texas.
NPI age
7 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-02Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
500 Throckmorton Street, Unit 3309
Fort Worth, TX 76102
Mailing address
500 Throckmorton Street, Unit 3309
Fort Worth, TX 76102
Authorized official
Augusto C Lastimosa, M.D.
Managing Member
📞 8173664777
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Maria De Jesus, MD Psychiatry & Neurology NPI 1336176387
- Augusto Lastimosa, M.D. Specialist NPI 1679509715
Specialties
-
Specialist/Technologist, Other PrimarySurgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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