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General NPI Number Information
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NPI Number | 1902569445
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Entity Type | Organization
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Legal Business Name | FORT WORTH INTERVENTIONAL LLC
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 933 HILLTOP DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-8807
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Country | US
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Telephone | 817-692-4089
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Fax |
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Provider Business Mailing Address
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Address Line | 900 JEROME ST STE 400
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City | FORT WORTH
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State | TX
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Zip | 76104-3942
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Country | US
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Telephone | 817-332-6092
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Fax | 817-402-7731
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. THOMAS MICHAEL RATINO
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Credential | MD
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Telephone | 817-332-6092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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