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NPI Code Detail

MEDICARE: CHANDLER MARGARET VILLA

MEDICARE:   CHANDLER MARGARET VILLA
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
11041C0700XClinical Social Worker111545TX

General Provider Information

NPI Number : 1386509909
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDLER MARGARET VILLA
Provider Business Mailing Address
First Line : 3220 N 24TH ST
Second Line :
City : WACO
State : TX
Zip : 76708-1916
Country : US
Telephone Number : 254-654-2112
Fax Number :
Provider Business Practice Location Address
First Line : 3220 N 24TH ST
Second Line :
City : WACO
State : TX
Zip : 76708-1916
Country : US
Telephone Number : 254-654-2112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ CHANDLER MARGARET VILLA ” Practice Location

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