person
Damon L Decarrillo, STUDENT
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1215585096

Damon L Decarrillo is a Student in an Organized Health Care Education/Training Program based in Fort Worth, TX. Damon L Decarrillo practices in Fort Worth, TX and has the professional credentials of STUDENT. The NPI Number for Damon L Decarrillo is 1215585096 and holds a License No. (Texas).

The current practice location address for Damon L Decarrillo is 1201 Wesleyan St, Fort Worth, TX and can be reached out via phone at 917-696-7438.

Location: 1201 Wesleyan St, Fort Worth, TX, 76105-1536
person
Provider Profile Details
NPI Number
1215585096
Provider Name
Damon L Decarrillo
Credential
STUDENT
Provider Entity Type
Individual
Gender
Male
Address
1201 Wesleyan St, Fort Worth, TX, 76105-1536
Phone Number
917-696-7438
Fax Number
Provider Enumeration Date
08/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 Wesleyan St
City
State
Zip
76105-1536
Phone Number
917-696-7438
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Wesleyan St
City
State
Zip
76105-1536
Phone Number
917-696-7438
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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