MEDICARE: BIBY KURIAN OT

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
1	2083X0100X	Occupational Medicine Physician	109022	TX

General Provider Information

NPI Number	:	1215196175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIBY KURIAN OT

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR
Second Line	:	SUITE 1200 WEST
City	:	ADDISON
State	:	TX
Zip	:	75001-4648
Country	:	US
Telephone Number	:	800-232-3550
Fax Number	:

Provider Business Practice Location Address
First Line	:	8267 ELMBROOK DR
Second Line	:	SUITE 101
City	:	DALLAS
State	:	TX
Zip	:	75247-4030
Country	:	US
Telephone Number	:	214-630-2331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	06/05/2008

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