Individual provider · Type 1 NPI

Theodorus Jonathan Kurkjian, MD

Plastic and Reconstructive Surgery Physician · Fort Worth, TX

NPI number 1508066176 Active

Practice location

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

Fax (817) 870-5064

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000X264705 (NY)
Plastic Surgery Physician 208200000XP3374 (TX)
Plastic and Reconstructive Surgery Physician Primary 2086S0122XP3374 (TX)

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

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About NPI 1508066176

Theodorus Jonathan Kurkjian, MD's National Provider Identifier is 1508066176, issued on Jul 23, 2007. 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 Aug 2, 2018.