Individual
MARYKUTTY KURIAKOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4009 WORTH ST, DALLAS, TX 75246-1608
(214) 820-9115
Mailing address
8332 CHARLESTON ST, IRVING, TX 75063-8000
(214) 714-7156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
MK2016
TX
Other
Enumeration date
11/02/2016
Last updated
01/05/2023
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