Individual
EMIL TOM KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
7603 263RD ST, FLORAL PARK, NY 11004-1142
(469) 713-4652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N0907
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026147
INSTITUTIONAL PERMIT
—
01
—
N0907
TEXAS MEDICAL BOARD LISENCE
TX
Enumeration date
05/22/2007
Last updated
03/30/2010
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