Individual
MICHELLE DENISE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-3133
Mailing address
1607 WALKER PLACE BLVD, COPPERAS COVE, TX 76522-4045
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0008731482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
FAMILY PRACTICE
—
Enumeration date
04/29/2021
Last updated
04/29/2021
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