Provider Demographics
NPI:1245986447
Name:THOMAS, FLAMIN KURIAN
Entity type:Individual
Prefix:MR
First Name:FLAMIN
Middle Name:KURIAN
Last Name:THOMAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920 ROSEMEADE PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-2445
Mailing Address - Country:US
Mailing Address - Phone:800-598-0524
Mailing Address - Fax:972-692-7070
Practice Address - Street 1:3920 ROSEMEADE PKWY STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-2445
Practice Address - Country:US
Practice Address - Phone:800-598-0524
Practice Address - Fax:972-692-7070
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1002919332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3920664858OtherDURABLE MEDICAL EQUIPMENT RETAIL STORE