IndividualActive
Ancy Chempola, PA-C
NPI 1629549498 · Physician Assistant · Grapevine, TX
Provider details
- NPI number
- 1629549498
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 022898 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3801 William D Tate Ave Ste 840
Grapevine, TX 76051-8759
Phone: (817) 310-3772
Fax: (817) 310-3950
Approximate (ZIP-level) locationGet directions
Mailing address
2040 E State Highway 121 Apt 5014
Lewisville, TX 75056
Registry dates
- Enumerated
- 2018-12-05
- Last updated
- 2025-08-05
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.