Provider Demographics
NPI:1578362497
Name:CHACHERE, GLENDA
Entity type:Individual
Prefix:
First Name:GLENDA
Middle Name:
Last Name:CHACHERE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13700 VETERANS MEMORIAL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-3100
Mailing Address - Country:US
Mailing Address - Phone:844-810-6289
Mailing Address - Fax:
Practice Address - Street 1:5802 TEMPLEGATE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-1522
Practice Address - Country:US
Practice Address - Phone:281-323-3731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator