Individual
DR. JUSTIN CARLSHOLLT MORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
62651
TN
207L00000X
Anesthesiology Physician
Primary
T5994
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2016
Last updated
08/05/2025
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