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Organization
MAVERICK FOOT AND ANKLE SPECIALISTS PLLC
Active
Organization
MAVERICK FOOT AND ANKLE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASOUD MORADI DPM (OWNER)
(305) 332-1672
Entity
Organization
Contact information
Practice address
1440 N MACARTHUR BLVD STE 101, IRVING, TX 75061-4401
(305) 332-1672
Mailing address
1440 N MACARTHUR BLVD STE 101, IRVING, TX 75061-4401
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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