Provider Demographics
NPI:1629549498
Name:CHEMPOLA, ANCY KURIAN (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ANCY
Middle Name:KURIAN
Last Name:CHEMPOLA
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2040 E STATE HIGHWAY 121 APT 5014
Mailing Address - Street 2:ANCYCHEMPOLA@TEXASHEALTH.ORG
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056
Mailing Address - Country:US
Mailing Address - Phone:646-761-4704
Mailing Address - Fax:817-310-3950
Practice Address - Street 1:3801 WILLIAM D TATE AVE STE 840
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8759
Practice Address - Country:US
Practice Address - Phone:817-310-3772
Practice Address - Fax:817-310-3950
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2025-08-05
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Provider Licenses
StateLicense IDTaxonomies
NY022898363A00000X
TXPA19207363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant