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Dr. Juan Carlos Martinez Grullon, MD
Plastic and Reconstructive Surgery Physician in Fort Worth, Texas
NPI 1154589950

Juan Carlos Martinez Grullon is a Plastic and Reconstructive Surgery Physician based in Fort Worth, TX and is specialized in Plastic and Reconstructive Surgery. Juan Carlos Martinez Grullon practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Juan Carlos Martinez Grullon is 1154589950 and holds a License No. MD448858 (Texas).

The current practice location address for Juan Carlos Martinez Grullon is 1250 8Th Ave Ste 265, Fort Worth, TX and can be reached out via phone at 682-200-8580 and via fax at 682-200-8581.

Location: 1250 8Th Ave Ste 265, Fort Worth, TX, 76104-4124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154589950
Provider Name
Juan Carlos Martinez Grullon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1250 8Th Ave Ste 265, Fort Worth, TX, 76104-4124
Phone Number
682-200-8580
Fax Number
682-200-8581
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0182590 05 OH
institution
Provider Business Practice Location Address Details
Address
1250 8Th Ave Ste 265
City
Fort Worth
State
Texas
Zip
76104-4124
Phone Number
682-200-8580
Fax Number
682-200-8581
person
Provider Business Mailing Address Details
Address
1250 8Th Ave Ste 265
City
Fort Worth
State
Texas
Zip
76104-4124
Phone Number
682-200-8580
Fax Number
682-200-8581
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
T3999 (Texas)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
MD448858 (Pennsylvania)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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