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NPI Code Detail

MEDICARE: DR. VINCENT MICHAEL MORETTI M.D.

MEDICARE:  DR. VINCENT MICHAEL MORETTI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD455216PA
2207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianMD455216PA

General Provider Information

NPI Number : 1326362864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT MICHAEL MORETTI M.D.
Provider Business Mailing Address
First Line : 1500 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4917
Country : US
Telephone Number : 817-702-3431
Fax Number : 817-702-6839
Provider Business Practice Location Address
First Line : 1250 8TH AVE STE 600
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4121
Country : US
Telephone Number : 817-702-7144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2010
Last Update Date : 12/18/2023

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Directions to “ DR. VINCENT MICHAEL MORETTI M.D.” Practice Location

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