Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Juan Carlos Granados, LSA

Individual provider Surgical Assistant · NPI 1134460314

Juan Carlos Granados, LSA is a Surgical Assistant in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Colorado and Texas.

Licensed in
CO, TX
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

5808 Manhattan Dr
Fort Worth, TX 76107-7613
Phone: (214) 227-2457
Fax: (214) 764-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00889 (TX)
Surgical Assistant Taxonomy 246ZC0007X · Licence 139944 (CO)

Record details

NPI number1134460314
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedMarch 12, 2013
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022

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