MEDICARE: SHEILA STEDMAN HORNADAY M.S. 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	231H00000X	Audiologist	80354	TX

General Provider Information

NPI Number	:	1588937841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA STEDMAN HORNADAY M.S. CCC-A

Provider Business Mailing Address
First Line	:	7449 LAS COLINAS BLVD
Second Line	:	STE 100
City	:	IRVING
State	:	TX
Zip	:	75063-7601
Country	:	US
Telephone Number	:	972-432-8282
Fax Number	:	972-432-0552

Provider Business Practice Location Address
First Line	:	7449 LAS COLINAS BLVD
Second Line	:	STE 100
City	:	IRVING
State	:	TX
Zip	:	75063-7601
Country	:	US
Telephone Number	:	972-432-8282
Fax Number	:	972-432-0552

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

Provider Enumeration Date	:	02/17/2012
Last Update Date	:	02/17/2012

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