Sibu Kuriakose
Physician Assistant in Dallas, TX. Individual provider (NPI-1).
NPI number1336734409
StatusActive
Last updated in NPPESMar 6, 2026
Details
- NPI
- 1336734409
- Entity type
- Individual (NPI-1)
- Name
- Sibu Kuriakose
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2021
- Certification date
- Mar 6, 2026
- Last updated
- Mar 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA14258 | TX | Yes |
Practice location
5323 Harry Hines BlvdDallas, TX 75390-7201
Phone 214-645-2122
Mailing address
Po Box 845347Dallas, TX 75284-5347
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