Koriakos, Angie
Koriakos, Angie is an sole proprietor health care provider with primary practice located at 399 W Campbell Rd Ste 410 , Richardson TX 75080-3636. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Koriakos, Angie can be contacted via phone (972) 469-3376.Contact Information
Primary practice address
399 W Campbell Rd Ste 410
Richardson TX 75080-3636
Phone: (972) 469-3376
Fax: (972) 469-3288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 20A12095 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | P3746 | Texas |
Profile Details
| NPI number | 1396060794 |
|---|---|
| LBN Legal business name | Koriakos, Angie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2010 |
| Last updated | Jan 17th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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