Individual
MISS ANCY KURIAN CHEMPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3801 WILLIAM D TATE AVE STE 840, GRAPEVINE, TX 76051-8759
(817) 310-3772
(817) 310-3950
Mailing address
2040 E STATE HIGHWAY 121 APT 5014, ANCYCHEMPOLA@TEXASHEALTH.ORG, LEWISVILLE, TX 75056
(646) 761-4704
(817) 310-3950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022898
NY
363A00000X
Physician Assistant
Primary
PA19207
TX
Other
Enumeration date
12/05/2018
Last updated
08/05/2025
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