Moore, Gregory Todd
Moore, Gregory Todd is an sole proprietor health care provider with primary practice located at 305 Regency Pkwy Ste 405 , Mansfield TX 76063-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moore, Gregory Todd can be contacted via phone (817) 968-5806.Contact Information
Primary practice address
305 Regency Pkwy Ste 405
Mansfield TX 76063-5169
Phone: (817) 968-5806
Fax: (915) 703-7745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | BP30020050 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | N0287 | Texas |
Profile Details
| NPI number | 1013108653 |
|---|---|
| LBN Legal business name | Moore, Gregory Todd |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Apr 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013108653 | NPPES |
| Texas | MEDICAID | 209173801 |
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