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Individual

MATTHEW CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-1475
(682) 885-7520
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.120119
OH
208000000X
Pediatrics Physician
P9533
TX
208M00000X
Hospitalist Physician
Primary
P9533
TX

Other

Enumeration date
04/13/2010
Last updated
04/30/2021
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