Individual
DR. VIPIN PRABHU KURIACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6750 N MACARTHUR BLVD, STE 205, IRVING, TX 75039-2875
(972) 823-6430
(972) 823-6431
Mailing address
2021 N MACARTHUR BLVD, STE 150, IRVING, TX 75061-2219
(972) 253-2560
(972) 253-4218
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
Q0489
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3374704 01
—
TX
Enumeration date
07/02/2010
Last updated
03/02/2017
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