Provider Demographics
NPI:1851282743
Name:METAMPA, LLC
Entity type:Organization
Organization Name:METAMPA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-307-3512
Mailing Address - Street 1:8300 CENTRAL PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6666
Mailing Address - Country:US
Mailing Address - Phone:254-227-6825
Mailing Address - Fax:254-300-4990
Practice Address - Street 1:1752 BRUCE B DOWNS BLVD STE 23
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-8640
Practice Address - Country:US
Practice Address - Phone:813-903-0016
Practice Address - Fax:321-290-1298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty