Individual
JULIE HEATHER CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1100
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(178) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01090354A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
T8500
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2020
Last updated
03/07/2025
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