MEDICARE: DR. SAM KURIAN CHERIAN DNP, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F03230487	TX
2	363LP2300X	Primary Care Nurse Practitioner	1115467	TX
3	208D00000X	General Practice Physician	F03230487	TX

General Provider Information

NPI Number	:	1972208726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAM KURIAN CHERIAN DNP, FNP

Provider Business Mailing Address
First Line	:	1151 N BUCKNER BLVD STE 102
Second Line	:	#102
City	:	DALLAS
State	:	TX
Zip	:	75218-3438
Country	:	US
Telephone Number	:	214-328-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 N BUCKNER BLVD STE 102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3438
Country	:	US
Telephone Number	:	214-328-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	05/29/2026

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