Organization
CENTRAL TEXAS PEDIATRIC ORTHOPEDICS AND SCOLIOSIS SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY SHAPIRO MD (SR. PARTNER AND OWNER)
(512) 478-8116
Entity
Organization
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 300, AUSTIN, TX 78723
(512) 478-8116
(512) 478-9368
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 300, AUSTIN, TX 78723
(512) 478-8116
(512) 478-9368
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G8973
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
G8973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N43X
BCBS GROUP #
TX
05
—
1624215-03
—
TX
01
—
162421504
MEDICAID CSHCN
TX
Enumeration date
02/13/2006
Last updated
08/08/2008
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