Individual
DR. MICHAEL DAVID CARLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-0278
Mailing address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-0278
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R5096
TX
207Q00000X
Family Medicine Physician
BP10026779
TX
2083A0100X
Aerospace Medicine Physician
BP10026779
TX
Other
Enumeration date
05/22/2007
Last updated
04/04/2018
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