MEDICARE: AMANDA LOUISE STOKES

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	237700000X	Hearing Instrument Specialist	11974	TX

General Provider Information

NPI Number	:	1104499508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA LOUISE STOKES

Provider Business Mailing Address
First Line	:	5303 50TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79414-1817
Country	:	US
Telephone Number	:	806-799-8950
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 E TYLER ST STE 105
Second Line	:
City	:	ATHENS
State	:	TX
Zip	:	75751-2191
Country	:	US
Telephone Number	:	903-292-5151
Fax Number	:

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

Provider Enumeration Date	:	07/22/2021
Last Update Date	:	07/22/2021

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Directions to “ AMANDA LOUISE STOKES ” Practice Location

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