Healthcare Provider Details

I. General information

NPI: 1659959948
Provider Name (Legal Business Name): EMIL BENJAMIN KURIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 N NOLAN RIVER RD
CLEBURNE TX
76033-7001
US

IV. Provider business mailing address

829 N NOLAN RIVER RD
CLEBURNE TX
76033-7001
US

V. Phone/Fax

Practice location:
  • Phone: 817-468-4343
  • Fax: 817-740-2254
Mailing address:
  • Phone: 817-468-4343
  • Fax: 817-740-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberW6686
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: