NPI 1003787565

Gerad Chancellor

Practitioner Community Health Worker Glenn Heights, TX

Practice location

Address: 1205 Seneca Pl, Glenn Heights, TX 75154-8821
Phone: (469) 337-3711

Registered specialties (3)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

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PACE Provider Organization

Agencies Taxonomy 251T00000X

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Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

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Registry record

NPI: 1003787565
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2025
Record last updated: 16 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.