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Organization
IGNITE MEDICAL RESORT FORT WORTH LLC
Active
Organization
IGNITE MEDICAL RESORT FORT WORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (MANAGER)
(630) 327-2951
Entity
Organization
Contact information
Practice address
6301 OAKMONT BLVD, FORT WORTH, TX 76132-2814
(682) 312-8577
Mailing address
1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1461
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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