Healthcare Provider Details

I. General information

NPI: 1093427247
Provider Name (Legal Business Name): EMMANUELA CHERUBIN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2022
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7102 TARRINGTON AVE STE 602
SUGAR LAND TX
77479-7275
US

IV. Provider business mailing address

11314 SILVER BAY CT
PEARLAND TX
77584-8228
US

V. Phone/Fax

Practice location:
  • Phone: 281-240-0311
  • Fax: 281-240-0313
Mailing address:
  • Phone: 502-417-5261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1094482
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1094482
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: