Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angie Koriakos, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396060794

Angie Koriakos, DO is a Dermatology in Richardson, Texas. Graduated from Western University of Health Sciences College of Dental Med in 2010, 16 years ago. Practices with K Dermatology PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
16
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
CA, TX
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

399 W Campbell Rd Ste 410
Richardson, TX 75080-3636
Phone: (972) 469-3376
Fax: (972) 469-3288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence P3746 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dermatology Physician Taxonomy 207N00000X · Licence 20A12095 (CA)

Record details

NPI number1396060794
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 30, 2010
Last updated in NPPESJanuary 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2010 (16 years in practice)
Group practice K Dermatology Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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