Provider Demographics
NPI:1447121157
Name:CHERIAN, REEMA RUTH (NP)
Entity type:Individual
Prefix:
First Name:REEMA
Middle Name:RUTH
Last Name:CHERIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 N RECORD ST APT 4116
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75202-1265
Mailing Address - Country:US
Mailing Address - Phone:321-432-2509
Mailing Address - Fax:
Practice Address - Street 1:1777 N RECORD ST APT 4116
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75202-1265
Practice Address - Country:US
Practice Address - Phone:321-432-2509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1116142363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health