Individual
DR. SCOTT R. ELKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3705 MEDICAL PKWY #450, AUSTIN, TX 78705-1024
(512) 306-0061
(512) 306-0069
Mailing address
3705 MEDICAL PKWY #450, AUSTIN, TX 78705-1024
(512) 306-0061
(512) 306-0069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G1644
TX
2084P0805X
Geriatric Psychiatry Physician
G1644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N08V
BCBS
TX
05
—
132050902
—
TX
01
—
8A6579
BLUE CROSS
TX
01
—
8F10233
MEDICARE PTAN
TX
01
—
P00009409
RAILROAD MEDICARE
TX
Enumeration date
08/02/2005
Last updated
07/22/2014
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