Individual
MICHAEL JOSEPH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M ED, LAT, ATC
Contact information
Practice address
2650 W OVERHILL DR, STEPHENVILLE, TX 76401-1972
(254) 968-4716
Mailing address
330 E MCNEIL ST, STEPHENVILLE, TX 76401-4333
(254) 965-7632
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1173
TX
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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