Individual
BRYAN J CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6900 HARRIS PKWY STE 200, FORT WORTH, TX 76132-4260
(817) 292-3376
(844) 886-8347
Mailing address
6900 HARRIS PKWY STE 200, FORT WORTH, TX 76132-4260
(817) 292-3376
(844) 886-8347
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Q6500
TX
207NP0225X
Pediatric Dermatology Physician
Q6500
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
02/10/2025
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