MEDICARE: CHANDLER RUNNELS COWSAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	115378	TX

General Provider Information

NPI Number	:	1528676996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANDLER RUNNELS COWSAR

Provider Business Mailing Address
First Line	:	PO BOX 6735
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5119
Country	:	US
Telephone Number	:	469-634-6272
Fax Number	:	214-975-1012

Provider Business Practice Location Address
First Line	:	6841 VIRGINIA PKWY STE 103-134
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5710
Country	:	US
Telephone Number	:	469-634-6272
Fax Number	:	214-975-1012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	05/04/2026

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Directions to “ CHANDLER RUNNELS COWSAR ” Practice Location

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