NPI: 1174606149 · RICHLAND HILLS, TX 76180 · Primary Podiatric Medicine Podiatrist · NPI assigned 10/23/2006
| Authorized Official | WOODLY, CHARLTON (OWNER) |
| NPI Enumeration Date | 10/23/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $95.42 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 12 | 12 | $95.42 |