# MOSELEY FOOT AND ANKLE CLINIC PLLC

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

## Provider details

- **NPI number:** 1104357284
- **Authorized official:** DR. TAMARA ANNELL MOSELEY DPM (OWNER/DIRECTOR)
- **Authorized official phone:** (214) 208-9697

## Contact information

- **Practice address:** 2416 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2303
- **Practice address phone:** (214) 208-9697
- **Mailing address:** 2416 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 2057 | TX | Yes |

## Other

- **Enumeration date:** 03/21/2017
- **Last updated:** 03/21/2017