Organization
WOODLY FOOT AND ANKLE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLTON WOODLY DPM (OWNER/PODIATRIST)
(682) 323-9205
Entity
Organization
Contact information
Practice address
7208 GLENVIEW DR, RICHLAND HILLS, TX 76180-8693
(817) 284-8271
(817) 284-2940
Mailing address
5505 MILFORD DR, FORT WORTH, TX 76137-4972
(682) 323-9306
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1764
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1764
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1764
TX
213ES0131X
Foot Surgery Podiatrist
1464
TX
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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