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NPI Code Detail

MEDICARE: KORRIEAN PAUL

MEDICARE: KORRIEAN PAUL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther TechnicianTX

General Provider Information

NPI Number : 1063352458
Entity Type Code : Individual
Provider Name (Legal Business Name) : KORRIEAN PAUL
Provider Business Mailing Address
First Line : 1104 E COPELAND RD APT 325
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-4902
Country : US
Telephone Number : 469-719-0845
Fax Number :
Provider Business Practice Location Address
First Line : 536 W RANDOL MILL RD # 117
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5738
Country : US
Telephone Number : 469-719-0845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ KORRIEAN PAUL ” Practice Location

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