Individual
VELLA V CHANCELLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 E. BROAD STREET, SUITE 400, MANSFIELD, TX 76063
(817) 477-9292
(817) 473-9787
Mailing address
2800 E. BROAD STREET, SUITE 400, MANSFIELD, TX 76063
(817) 477-9292
(817) 473-9787
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F1443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00SY33
BCBS
TN
05
—
035911901
—
TX
01
—
2221774
BLUE LINK
TX
Enumeration date
11/03/2005
Last updated
11/02/2016
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