COLLEYVERSE IOM LLC NPI 1013549278

NPI Details

COLLEYVERSE IOM, LLC is a surgical technologist specialist technologist other in Fort Worth, TX. The provider is surgical 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 safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. COLLEYVERSE IOM, LLC NPI is 1013549278. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 THROCKMORTON STREET
UNIT 3309
FORT WORTH, TX
ZIP 76102
Phone: (817) 908-8124
Fax: (817) 885-7339

The provider's authorized official is Augusto C Lastmosa .
The authorized official title is Managing Member and has the following contact phone number (817) 366-4777.

The enumeration date for this NPI number is 2/6/2020 and was last updated on 2/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: