Organization
MAVERICK FOOT AND ANKLE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASOUD MORADI DPM (OWNER)
(305) 332-1672
Entity
Organization
Contact information
Practice address
1440 N MACARTHUR BLVD STE 101, IRVING, TX 75061-4401
(305) 332-1672
Mailing address
1440 N MACARTHUR BLVD STE 101, IRVING, TX 75061-4401
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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