Organization
CENTRAL TEXAS PEDIATRIC ORTHOPEDICS AND SCOLIOSIS SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY SHAPIRO MD (SR. PARTNER AND OWNER)
(512) 478-8116
Entity
Organization
Contact information
Practice address
7200 WYOMING SPGS, SUITE 700, ROUND ROCK, TX 78681-4303
(512) 478-8116
(512) 478-9368
Mailing address
7200 WYOMING SPGS, SUITE 700, ROUND ROCK, TX 78681-4303
(512) 478-8116
(512) 478-9368
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112468-03
—
TX
01
—
2112468-04
MEDICAID CSHCN ROT
TX
Enumeration date
02/24/2009
Last updated
04/23/2012
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