Cowtown Kidtalk

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COWTOWN KIDTALK

Practice address

4616 Angus Dr
Fort Worth, TX 76116-8000

Phone

(917) 525-0463

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mackenzie Irsula

Title

Owner

Phone

(917) 525-0463

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1043124274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 ANGUS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168000",
            "telephone_number": "917-525-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 ANGUS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168000",
            "telephone_number": "917-525-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWTOWN KIDTALK",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "IRSULA",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-525-0463"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.