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Juan Granados, LSA
NPI 1134460314 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5808 Manhattan Dr
Fort Worth, TX 76107 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- Organisation at this address
- Assisting Concepts
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Surgical Assistant
246ZC0007X
- Also registered as
- Surgical Assistant
- Licence states on file
- CO, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas