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Organization
WOODLY FOOT AND ANKLE SPECIALISTS PC
Active
Organization
WOODLY FOOT AND ANKLE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLTON WOODLY DPM (OWNER)
(817) 284-8271
Entity
Organization
Contact information
Practice address
7208 GLENVIEW DR, RICHLAND HILLS, TX 76180-8693
(817) 284-8271
Mailing address
7208 GLENVIEW DR, RICHLAND HILLS, TX 76180-8693
(817) 284-8271
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1764
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
1764
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1764
TX
213ES0131X
Foot Surgery Podiatrist
1764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1764
LICENSE
TX
05
—
178674101
—
TX
05
—
198417101
—
TX
Enumeration date
10/23/2006
Last updated
08/25/2022
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