Individual provider · Type 1 NPI

Lisa Mathew Cherian, PA

Medical Physician Assistant · Fort Worth, TX

NPI number 1518101641 Active

Practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Call (817) 820-4906 Map

Fax (817) 820-4815

Mailing address

2406 Silver Holly Ln
Richardson, TX 75082-4208

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA05975 (TX)
Medical Physician Assistant Primary 363AM0700XPA05975 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1518101641

Lisa Mathew Cherian, PA's National Provider Identifier is 1518101641, issued on Apr 20, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 26, 2024.