MEDICARE: DR. AMANDA MICHELLE STELL AUD

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	81344	TX

General Provider Information

NPI Number	:	1639818057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA MICHELLE STELL AUD

Provider Business Mailing Address
First Line	:	10410 CHESTERTON DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-2206
Country	:	US
Telephone Number	:	214-226-7222
Fax Number	:

Provider Business Practice Location Address
First Line	:	5751 EDWARDS RANCH RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4120
Country	:	US
Telephone Number	:	817-332-8848
Fax Number	:

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

Provider Enumeration Date	:	06/02/2022
Last Update Date	:	06/02/2022

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