Individual
SIBU KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-2122
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14258
TX
363AS0400X
Surgical Physician Assistant
Primary
PA14258
TX
Other
Enumeration date
03/01/2021
Last updated
03/06/2026
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