DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MISS ELISA MARIEL VILLAZANA M.S., CCC-SLP

MEDICARE: MISS ELISA MARIEL VILLAZANA M.S., 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
1235Z00000XSpeech-Language Pathologist122879TX

General Provider Information

NPI Number : 1801474937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ELISA MARIEL VILLAZANA M.S., CCC-SLP
Provider Business Mailing Address
First Line : 4440 COLE ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76115-2712
Country : US
Telephone Number : 817-522-2675
Fax Number :
Provider Business Practice Location Address
First Line : 7060 CAMP BOWIE BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7119
Country : US
Telephone Number : 817-814-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 12/17/2025

Similar Medicare Providers

1932677051 — ELIZABETH DANIELLE DOOLING PEREZ
Practice Location Address:
7060 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7119
Practice Phone: 214-865-8119
Practice Fax:
1134737448 — JACQUELINE MARIE MARTINEZ
Practice Location Address:
7060 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7119
Practice Phone: 817-814-7400
Practice Fax:
1851121719 — ERIN LECHEMINANT CCC-SLP
Practice Location Address:
7060 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7119
Practice Phone: 817-814-2000
Practice Fax:
1346075801 — MISS MEHALI M PATEL
Practice Location Address:
7060 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7119
Practice Phone: 817-814-2000
Practice Fax:
1740008432 — BAILEY MCDANIEL M.S. CCC-SLP
Practice Location Address:
7060 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7119
Practice Phone: 806-570-8369
Practice Fax:
1053134718 — REBECCA BOSWELL
Practice Location Address:
7060 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7119
Practice Phone: 817-814-2000
Practice Fax:

Directions to “ MISS ELISA MARIEL VILLAZANA M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.