Individual
MR. PATRICK A LASTIMOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 THROCKMORTON ST APT 3309, FORT WORTH, TX 76102-3820
(817) 908-8124
(817) 885-7339
Mailing address
500 THROCKMORTON STREET UNIT 3309, FORTH WORTH, TX 76102
(817) 908-8124
(817) 885-7339
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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