Healthcare Provider Details

I. General information

NPI: 1013543917
Provider Name (Legal Business Name): CHRISTINE SUSAN KURIEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 STATE HIGHWAY 121 STE 910
FRISCO TX
75035-9347
US

IV. Provider business mailing address

11500 STATE HIGHWAY 121 STE 910
FRISCO TX
75035-9347
US

V. Phone/Fax

Practice location:
  • Phone: 469-200-2605
  • Fax: 469-200-2606
Mailing address:
  • Phone: 469-200-2605
  • Fax: 469-200-2606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberV7936
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: