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Organization
MOORE FOOT AND ANKLE SPECIALISTS PA
Active
Organization
MOORE FOOT AND ANKLE SPECIALISTS PA
Active
Other names
Modern Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA TORRES (CREDENTIALING SUPERVISOR)
(813) 400-1140
Entity
Organization
Contact information
Practice address
2616 FM 2920 RD STE N, SPRING, TX 77388-3590
(281) 444-6300
(832) 375-1247
Mailing address
2616 FM 2920 RD STE N, SPRING, TX 77388-3590
(281) 444-6300
(832) 375-1247
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7771805
AETNA ID
TX
Enumeration date
06/21/2006
Last updated
08/10/2026
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