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Contact Information

ALEDO IOM LLC
500 THROCKMORTON ST., #3012
FORT WORTH, TX76102
 Phone: 817-908-8124
 Fax: 817-885-7339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ALEDO IOM LLC

NPI # 1578989976
LBN Legal business name ALEDO IOM LLC
Authorized official AUGUSTO LASTIMOSA - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2014
Last updated 03/11/2014 - About 12 years ago
Identifiers
TX License # K1126
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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