Organization
IGNITE MEDICAL RESORT KATY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (MANAGER)
(847) 453-4000
Entity
Organization
Contact information
Practice address
1222 PARK WEST GREEN DR, KATY, TX 77493-3654
(346) 762-6300
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
01/20/2025
Last updated
01/20/2025
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