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Organization

SCOTT R. ELKIN, DO, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT R. ELKIN DO (CEO / PRESIDENT)
(512) 306-0061
Entity
Organization

Contact information

Practice address
1510 W 34TH ST STE 205, AUSTIN, TX 78703-1494
(512) 306-0061
(512) 306-0069
Mailing address
PO BOX 4595, AUSTIN, TX 78765-4595
(512) 306-0061
(512) 306-0069

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G1644
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0A3207
MEDICARE PTAN
TX
01
1487663274
NPI
TX
Enumeration date
08/08/2006
Last updated
05/11/2009
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