Moody Moussa Mankerious (NPI# 1093158578, PAC ID# 3173815768) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1093158578 |
| PAC ID by PECOS | 3173815768 |
| Professional Enrollment ID | I20160629002186 |
| Full Name | Moody Moussa Mankerious |
| Address |
6251 Oakmont Blvd Fort Worth TX 76132-3119 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450833 | ENNIS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3229 W 7th Ave, Corsicana, TX 75110-4817 | 9038729910 | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
| 601 S Clay St, Suite 105, Ennis, TX 75119-5771 | 9038753368 | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
| 6251 Oakmont Blvd, Fort Worth, TX 76132-3119 |
| Street Address |
6251 OAKMONT BLVD |
| City | FORT WORTH |
| State | TX |
| Zip | 76132-3119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Matthews | Physical Therapy | Joseph Daniels, Do, Pa | 6311 Southwest Blvd, Benbrook, TX 76132-1063 |
| Joseph Daniels | Orthopedic Surgery | Joseph Daniels, Do, Pa | 6311 Southwest Blvd, Benbrook, TX 76132-1063 |
| Mark A Flesher | Physician Assistant | Joseph Daniels, Do, Pa | 6311 Southwest Blvd, Benbrook, TX 76132-1063 |
| Thomas G Murnane Iii | Diagnostic Radiology | Virtual Radiologic Professionals of Texas, Pa | 6704 Blue Meadow Dr, Fort Worth, TX 76132-1129 |
| Karen Ngoc Nguyen | Optometry | Infocus Vision, P.C. | 4800 S Hulen St, Suite 2720, Fort Worth, TX 76132-1400 |
| Richard Chun Hsien Chu | Ophthalmology | 4631 S Hulen St, Fort Worth, TX 76132-1401 | |
| Robert C Chu | Optometry | Drcs Group, Inc. | 4631 S Hulen St, Fort Worth, TX 76132-1401 |
| Lena Wf Chu | Optometry | Drcs Group, Inc. | 4631 S Hulen St, Fort Worth, TX 76132-1401 |
| Danny P Mathew | Optometry | Drcs Group, Inc. | 4631 S Hulen St, Fort Worth, TX 76132-1401 |
| Katherine Ys Mor | Optometry | Drcs Group, Inc. | 4631 S Hulen St, Fort Worth, TX 76132-1401 |
| Find all physicians in zip 76132 | |||
| City | FORT WORTH |
| Zip Code | 76132 |
| Specialty | PODIATRY |
| City + Specialty | FORT WORTH + PODIATRY |
Please comment or provide details below to improve the information on Moody Moussa Mankerious.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.