Individual
JAY SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
G8973
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G8973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262032-09
—
TX
05
—
1262032-10
—
TX
01
—
1262032-11
MEDICAID CSHCN ROT
TX
01
—
1262032-12
MEDICAID CSHCN AUSTIN
TX
01
—
126203208
MEDICAID CSHCN
TX
01
—
87W191
BCBS INDIVIDUAL #
TX
Enumeration date
02/13/2006
Last updated
09/18/2012
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