Dr. Gregory Todd Moore
Orthopaedic Surgeon
2901 Acme Brick Plz
Fort Worth
, Texas 76109-4124
Dr. Gregory Todd Moore
Orthopaedic Surgeon
2901 Acme Brick Plz
Fort Worth
, Texas 76109-4124
(817) 529-1910
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gregory Todd Moore
- 2901 Acme Brick Plz
- Fort Worth, TX
- Zip : 76109-4124
- Fax : (817) 529-1910
- Phone : (817) 529-1900
Second Address
- Dr. Gregory Todd Moore
- 2901 Acme Brick Plz
- Fort Worth, TX
- Zip : 76109-4124
- Fax : (817) 529-1910
- Phone : (817) 529-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | BP30020050 | TX |
| Y | 207X00000X | Orthopaedic Surgeon | N0287 | TX |
National Provider Identifier
| NPI | 1013108653 |
|---|---|
| Provider Name | Dr. Gregory Todd Moore |
| First Address | Fort Worth, TX 76109-4124 |
| Second Address | Fort Worth, TX 76109-4124 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2007 |
| Last Update Date | 08/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209173801 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.