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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