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NPI Code Detail

MEDICARE: CALLAN STELL

MEDICARE: CALLAN STELL
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
12355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1134832819
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALLAN STELL
Provider Business Mailing Address
First Line : 2005 BROADLEAF DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76001-5663
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4775 NORTH FWY
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-2300
Country : US
Telephone Number : 682-738-3056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2022
Last Update Date : 12/28/2022

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Directions to “ CALLAN STELL ” Practice Location

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