Individual
DR. CRAIG MAHLON WOMELDORPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6317 HARRIS PKWY STE 300, FORT WORTH, TX 76132-4258
(817) 361-6900
(817) 522-1968
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101017580
MI
207RG0100X
Gastroenterology Physician
156841
MA
207RG0100X
Gastroenterology Physician
Primary
5101017580
MI
Other
Enumeration date
06/13/2005
Last updated
01/09/2024
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