Individual
ELLEN MATTHEWS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-8110
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-8110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
694393
TX
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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