Healthcare Provider Details

I. General information

NPI: 1487030201
Provider Name (Legal Business Name): AMANDA BELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA MORMAN PA-C

II. Dates (important events)

Enumeration Date: 08/04/2015
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 ITHACA AVE
LUBBOCK TX
79410-1332
US

IV. Provider business mailing address

2202 ITHACA AVE
LUBBOCK TX
79410-1332
US

V. Phone/Fax

Practice location:
  • Phone: 806-797-1202
  • Fax: 806-797-4854
Mailing address:
  • Phone: 806-797-1202
  • Fax: 806-797-4854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA09868
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: