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Theodorus Jonathan Kurkjian, MD

Surgery, Plastic and Reconstructive Surgery in Fort Worth, TX. Individual provider (NPI-1).

NPI number1508066176
StatusActive
Last updated in NPPESAug 2, 2018

Details

NPI
1508066176
Entity type
Individual (NPI-1)
Name
Theodorus Jonathan Kurkjian
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 23, 2007
Last updated
Aug 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive Surgeryp3374TXYes
208200000X Plastic Surgery264705NY
208200000X Plastic Surgeryp3374TX

Practice location

800 8th Ave
Suite 336
Fort Worth, TX 76104-2601

Phone 817-870-5080 · Fax 817-870-5064

Mailing address

5825 Edwards Ranch Rd
Ste 200
Fort Worth, TX 76109-4122

Phone 817-870-5080 · Fax 817-870-5064

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