Organization
CENTRAL TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY SHAPIRO (PHYSICIAN)
(512) 478-8116
Entity
Organization
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 300, AUSTIN, TX 78723-3078
(512) 478-8116
Mailing address
1301 BARBARA JORDAN BLVD STE 300, AUSTIN, TX 78723-3078
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AP123930
TX
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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