# MAVERICK FOOT AND ANKLE SPECIALISTS PLLC

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

## Provider details

- **NPI number:** 1306466909
- **Authorized official:** MASOUD MORADI DPM (OWNER)
- **Authorized official phone:** (305) 332-1672

## Contact information

- **Practice address:** 1440 N MACARTHUR BLVD STE 101, IRVING, TX 75061-4401
- **Practice address phone:** (305) 332-1672
- **Mailing address:** 1440 N MACARTHUR BLVD STE 101, IRVING, TX 75061-4401

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2020
- **Last updated:** 04/23/2020