Individual
MRS. CARMEN VILLANUEVA HILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
312 SONTERRA BLVD, JARRELL, TX 76537-5003
(956) 534-1916
(844) 831-4567
Mailing address
312 SONTERRA BLVD, JARRELL, TX 76537-5003
(956) 534-1916
(844) 831-4567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110069507
—
TX
05
—
173794201
—
TX
05
—
318597701
—
TX
Enumeration date
05/19/2008
Last updated
01/26/2019
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