Individual
DR. GREGORY TODD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1320 HIGHWAY 287 S, MANSFIELD, TX 76063-5701
(817) 968-5806
(915) 703-7745
Mailing address
2901 ACME BRICK PLZ, FORT WORTH, TX 76109-4124
(817) 529-1900
(817) 529-1910
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP30020050
TX
207X00000X
Orthopaedic Surgery Physician
Primary
N0287
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209173801
—
TX
Enumeration date
08/08/2007
Last updated
11/05/2025
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