Individual
THEODORUS JONATHAN KURKJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 8TH AVE, SUITE 336, FORT WORTH, TX 76104-2601
(817) 870-5080
(817) 870-5064
Mailing address
5825 EDWARDS RANCH RD, STE 200, FORT WORTH, TX 76109-4122
(817) 870-5080
(817) 870-5064
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
264705
NY
208200000X
Plastic Surgery Physician
P3374
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
P3374
TX
Other
Enumeration date
07/23/2007
Last updated
08/02/2018
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