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Individual

DR. GARISH KURIAN ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2975 E BROAD ST STE 200, MANSFIELD, TX 76063-9147
(682) 518-8619
(682) 518-8195
Mailing address
P. O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(682) 518-8195

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M7006
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
189526001
TX
01
P00867271
RAILROAD MEDICARE
TX
Enumeration date
05/29/2007
Last updated
11/04/2016
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