Healthcare Provider Details

I. General information

NPI: 1558571885
Provider Name (Legal Business Name): ELIZABETH ANN CHILCOTE M.S. CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 COIT RD STE 411
FRISCO TX
75035-0520
US

IV. Provider business mailing address

10740 N GESSNER RD STE 310
HOUSTON TX
77064-1240
US

V. Phone/Fax

Practice location:
  • Phone: 972-731-7654
  • Fax: 972-731-6226
Mailing address:
  • Phone: 281-897-0416
  • Fax: 800-346-9037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number51596
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number51596
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: