Individual
VIBIN THOMAS KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012-2579
(817) 801-1503
(817) 801-1508
Mailing address
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012-2579
(817) 801-1503
(817) 801-1508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11358
TX
363AS0400X
Surgical Physician Assistant
Primary
PA11358
TX
Other
Enumeration date
09/22/2017
Last updated
01/24/2018
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