| NPI | 1659865806 |
|---|---|
| Doing Business As | FUSION FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | MOODY M MANKERIOUS Owner 817-494-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-11-05 |