MEDICARE: JAMIE LYNN WINDERWEEDLE WALL AU.D., CCC/A

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
1	237600000X	Audiologist-Hearing Aid Fitter	5525	LA
2	237600000X	Audiologist-Hearing Aid Fitter	A3560	MS
3	237600000X	Audiologist-Hearing Aid Fitter	80551	TX

General Provider Information

NPI Number	:	1255589008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE LYNN WINDERWEEDLE WALL AU.D., CCC/A

Provider Business Mailing Address
First Line	:	10740 N GESSNER RD STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1240
Country	:	US
Telephone Number	:	281-897-0416
Fax Number	:

Provider Business Practice Location Address
First Line	:	17520 W GRAND PKWY S STE 440
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3170
Country	:	US
Telephone Number	:	326-788-3508
Fax Number	:	877-319-1713

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2008
Last Update Date	:	08/19/2025

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