Individual provider · Type 1 NPI

Juan Carlos Martinez Grullon, MD

Plastic and Reconstructive Surgery Physician · Fort Worth, TX

NPI number 1154589950 Active

Practice location

1250 8th Ave Ste 265
Fort Worth, TX 76104-4124

Call (682) 200-8580 Map

Fax (682) 200-8581

Mailing address

1250 8th Ave, Ste 265
Fort Worth, TX 76104-4124

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XMD448858 (PA)
Plastic Surgery Physician 208200000XT3999 (TX)
Plastic and Reconstructive Surgery Physician Primary 2086S0122XT3999 (TX)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1154589950

Juan Carlos Martinez Grullon, MD's National Provider Identifier is 1154589950, issued on May 28, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 28, 2022.