WOODLY FOOT AND ANKLE SPECIALISTS, PC
Medical Practice at Glenview Dr, Fort Worth, TX

License number
Texas 1764
Category
Podiatry
Type
Podiatrist
License number
Texas 1764
Category
Podiatry
Type
Primary Podiatric Medicine
License number
Texas 1764
Category
Medical Practice
Type
Foot & Ankle Surgery
License number
Texas 1464
Category
Medical Practice
Type
Foot Surgery
Owner
Name: DR. CHARLTON WOODLY DPM
Title: OWNER/PODIATRIST
Phone: (682) 323-9205
Address
Address
7208 Glenview Dr, Fort Worth, TX 76180
National Provider ID: 1073905519
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WOODLY FOOT AND ANKLE SPECIALISTS PC

5505 Milford Dr, Fort Worth, TX 76137

Registration:
Aug 24, 2006
State ID:
0800698155
President:
Charlton Woodly (President), 5505 Milford Dr, Fort Worth, TX 76137
Agent:
National Registered Agents, Inc,1999 Bryan St, Dallas, TX 75201 (Physical)
TIN:
32020477744

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