Dr. Charlton Woodly
Primary Podiatric Medicine
5505 Milford Dr
Fort Worth
, Texas 76137-4972
Dr. Charlton Woodly
Primary Podiatric Medicine
5505 Milford Dr
Fort Worth
, Texas 76137-4972
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Charlton Woodly
- 5505 Milford Dr
- Fort Worth, TX
- Zip : 76137-4972
- Phone :
Second Address
- Dr. Charlton Woodly
- 5505 Milford Dr
- Fort Worth, TX
- Zip : 76137-4972
- Phone : (817) 596-5077
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 1764 | TX |
National Provider Identifier
| NPI | 1609833268 |
|---|---|
| Provider Name | Dr. Charlton Woodly |
| First Address | Fort Worth, TX 76137-4972 |
| Second Address | Fort Worth, TX 76137-4972 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 09/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V06193 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.