Scalo, Jordan
Scalo, Jordan is an individual health care provider with primary practice located at 6811 Austin Center Blvd Ste 400 , Austin TX 78731-3157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Scalo, Jordan can be contacted via phone (512) 380-9200.Contact Information
Primary practice address
6811 Austin Center Blvd Ste 400
Austin TX 78731-3157
Phone: (512) 380-9200
Fax: (512) 380-9201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | H73442 | Texas |
Profile Details
| NPI number | 1013089218 |
|---|---|
| LBN Legal business name | Scalo, Jordan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | May 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013089218 | NPPES |
| Texas | MEDICAID | 153942103 |
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