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Individual

ALEENA KURIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
855 MONTGOMERY, FORT WORTH, TX 76107-2553
(817) 735-3627
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N6442
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
312863902
TX
01
8DV537
BCBS
TX
01
P01307419
RAILROAD MEDICARE
TX
Enumeration date
06/05/2008
Last updated
08/19/2014
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