Organization
GREGORY TODD MOORE, DO PA
Active
Other names
Ellis County Orthopedic Sports Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATE KISER (PRACTICE MANAGER)
(817) 529-1900
Entity
Organization
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
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
N0287
TX
Other
Enumeration date
06/04/2009
Last updated
11/05/2025
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