Individual
MATTHEW AARON WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12300 BEAR PLZ STE 408, BURLESON, TX 76028-9501
(817) 585-1768
Mailing address
10541 MUSTANG WELLS DR, FORT WORTH, TX 76126-6461
(817) 733-1317
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
AP140285
TX
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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