NPI 1093158578

Moody Mankerious, DPM

Practitioner Podiatrist Fort Worth, TX

Practice location

Address: 8036 Camp Bowie West Blvd, Fort Worth, TX 76116-6313
Phone: (817) 494-0566
Fax: (817) 612-3157

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 2204 (TX)

Other Podiatrist providers in Texas →

Registry record

NPI: 1093158578
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2013
Record last updated: 8 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.