Individual
ANGIE KORIAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
399 W CAMPBELL RD STE 410, RICHARDSON, TX 75080-3636
(972) 469-3376
(972) 469-3288
Mailing address
399 W CAMPBELL RD STE 410, RICHARDSON, TX 75080-3636
(972) 469-3376
(972) 469-3288
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
20A12095
CA
207N00000X
Dermatology Physician
Primary
P3746
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2010
Last updated
01/17/2017
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