# FUSION FOOTWEAR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720964737
- **Authorized official:** MRS. CLAIR RIZK (MANAGER)
- **Authorized official phone:** (817) 840-6769

## Contact information

- **Practice address:** 8036 CAMP BOWIE WEST BLVD, FORT WORTH, TX 76116-6313
- **Practice address phone:** (817) 840-6769
- **Mailing address:** 8036 CAMP BOWIE WEST BLVD, FORT WORTH, TX 76116-6313
- **Mailing address phone:** (817) 886-8258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2025
- **Last updated:** 08/14/2025