Individual
DR. CHRISTOPHER KREAG POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5230 MEDICAL CENTER DR, DALLAS, TX 75235-7710
(214) 920-5900
Mailing address
5720 FOREST PARK RD, APT 3216, DALLAS, TX 75235-6420
(214) 366-2270
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
01061116A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01061116A
STATE LICENSE
IN
01
—
524557
POSTGRAD TRAINING PERMIT
TX
Enumeration date
02/07/2007
Last updated
07/08/2007
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