Individual
DR. MOODY MANKERIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8036 CAMP BOWIE WEST BLVD, FORT WORTH, TX 76116-6313
(817) 494-0566
(817) 612-3157
Mailing address
8036 CAMP BOWIE WEST BLVD, FORT WORTH, TX 76116-6313
(817) 494-0566
(817) 612-3157
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2204
TX
Other
Enumeration date
04/15/2013
Last updated
04/08/2026
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