Jeanette Grullon-Mejia, MD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N2097 Issued in TX

Practice address

J Street
Building 3000
Fort Worth, TX 76127

Phone

(817) 782-4352

NPI assigned

Sep 20, 2005

Last updated

Apr 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jeanette A. Grullon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1659366219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J STREET",
            "address_2": "BUILDING 3000",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76127",
            "telephone_number": "817-782-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J STREET",
            "address_2": "BUILDING 3000",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76127",
            "telephone_number": "817-782-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULLON-MEJIA",
        "first_name": "JEANETTE",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N2097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "GRULLON",
            "middle_name": "A.",
            "credential": "MD.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy Grothe, DC
• Hayley Grover, D.O.
• Jennifer G. Groves, P.A.-C.
• Christopher Sloan Grubb, MD
• Randall Lee Grubbs, M.D.
• Marlene Guajardo
• Yue Guan, M.D.
• Guardian Health Care Inc. (Guardian Healthcare)
• Guardianship Services Inc
• Adriana Guardiola, OD

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.