Organization
ELITE AUDIOLOGY RESOURCES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY BADSTUBNER AU.D. (PRESIDENT)
(352) 672-5357
Entity
Organization
Contact information
Practice address
578 N KIMBALL AVE, SUITE 140, SOUTHLAKE, TX 76092-6883
(817) 778-4934
(817) 380-3256
Mailing address
578 N KIMBALL AVE, SUITE 140, SOUTHLAKE, TX 76092-6883
(817) 778-4934
(817) 380-3256
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362901
MEDICARE
TX
01
—
362902ZH8S
MEDICARE
TX
Enumeration date
04/29/2014
Last updated
10/20/2016
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