Ignite Medical Resort Fort Worth LLC
NPI #1659031268 in Fort Worth, Texas
Provider Information
- NPI Number
- 1659031268
- Entity Type
- Organization
- Organization Name
- Ignite Medical Resort Fort Worth LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 22, 2021
- Last Updated
- Dec 22, 2021
Practice Location
- Address
- 6301 OAKMONT BLVD
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76132-2814
- Phone
- (682) 312-8577
Authorized Official
- Name
- TIMOTHY FIELDS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (630) 327-2951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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