Individual
GLORIA MOODY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(817) 731-7771
(817) 731-7774
Mailing address
PO BOX 100428, FORT WORTH, TX 76185-0428
(817) 731-7771
(817) 731-7774
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
K4962
TX
Other
Enumeration date
02/25/2006
Last updated
07/09/2007
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