Individual
DR. JORDAN SCALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6811 AUSTIN CENTER BLVD STE 400, AUSTIN, TX 78731-3157
(512) 380-9200
(512) 380-9201
Mailing address
6811 AUSTIN CENTER BLVD STE 400, AUSTIN, TX 78731-3157
(512) 380-9200
(512) 380-9201
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
H73442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153942103
—
TX
Enumeration date
11/14/2006
Last updated
05/11/2023
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