Provider Demographics
NPI:1225545460
Name:KURIACHAN EYE INSTITUTE, PLLC
Entity type:Organization
Organization Name:KURIACHAN EYE INSTITUTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIPIN
Authorized Official - Middle Name:PRABHU
Authorized Official - Last Name:KURIACHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-739-3387
Mailing Address - Street 1:316 CHESTER DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5859
Mailing Address - Country:US
Mailing Address - Phone:979-739-3387
Mailing Address - Fax:
Practice Address - Street 1:6750 N MACARTHUR BLVD STE 331
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039
Practice Address - Country:US
Practice Address - Phone:469-886-8888
Practice Address - Fax:469-886-8880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0489207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty