Individual
DR. JOSEPH KALATHIL KURIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4500
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10042972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367697501
—
TX
01
—
75-2616977-042
TRICARE
TX
01
—
8GD211
BCBS
TX
01
—
P01721580
RAIL ROAD MEDICARE
TX
Enumeration date
05/22/2012
Last updated
04/10/2017
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