# FUSION FOOT AND ANKLE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fusion Foot and Ankle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659865806
- **Authorized official:** MOODY M MANKERIOUS DPM (OWNER)
- **Authorized official phone:** (817) 494-0566

## Contact information

- **Practice address:** 8036 CAMP BOWIE WEST BLVD, FORT WORTH, TX 76116-6313
- **Practice address phone:** (817) 494-0566
- **Practice address fax:** (817) 612-3157
- **Mailing address:** 8036 CAMP BOWIE WEST BLVD, FORT WORTH, TX 76116-6313
- **Mailing address phone:** (817) 494-0566
- **Mailing address fax:** (817) 612-3157

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2018
- **Last updated:** 04/08/2026