MEDICARE: ABIGAIL RUTH ELMORE MS, CCC-SLP

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

General Provider Information

NPI Number	:	1366184400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL RUTH ELMORE MS, CCC-SLP

Provider Business Mailing Address
First Line	:	3001 CRITES ST
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76118-6232
Country	:	US
Telephone Number	:	682-229-1102
Fax Number	:

Provider Business Practice Location Address
First Line	:	783 E FM 1187
Second Line	:
City	:	CROWLEY
State	:	TX
Zip	:	76036-4346
Country	:	US
Telephone Number	:	682-325-7159
Fax Number	:

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

Provider Enumeration Date	:	04/09/2022
Last Update Date	:	01/09/2026

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Directions to “ ABIGAIL RUTH ELMORE MS, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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