# ELITE AUDIOLOGY RESOURCES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831509900
- **Authorized official:** DR. AMY BADSTUBNER AU.D. (PRESIDENT)
- **Authorized official phone:** (352) 672-5357

## Contact information

- **Practice address:** 578 N KIMBALL AVE, SUITE 140, SOUTHLAKE, TX 76092-6883
- **Practice address phone:** (817) 778-4934
- **Practice address fax:** (817) 380-3256
- **Mailing address:** 578 N KIMBALL AVE, SUITE 140, SOUTHLAKE, TX 76092-6883
- **Mailing address phone:** (817) 778-4934
- **Mailing address fax:** (817) 380-3256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 80477 | TX | Yes |

## Other

- **Enumeration date:** 04/29/2014
- **Last updated:** 10/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 362901 | MEDICARE | TX |
| 01 | — | 362902ZH8S | MEDICARE | TX |