Individual
LISA MATHEW CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 820-4906
(817) 820-4815
Mailing address
2406 SILVER HOLLY LN, RICHARDSON, TX 75082-4208
(214) 529-0352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA05975
TX
363AM0700X
Medical Physician Assistant
Primary
PA05975
TX
Other
Enumeration date
04/20/2009
Last updated
01/26/2024
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