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Contact Information

JORDAN SCALO, MD
11111 RESEARCH BLVD
SUITE 300
AUSTIN, TX78759-5264
 Phone: 512-380-9200
 Fax: 512-380-9201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JORDAN SCALO · (Male)

NPI Number 1013089218
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2006
Last updated 12/16/2014 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H73442
  • TX Medicaid 153942103
Hospital affiliation(s)
  • SETON MEDICAL CENTER AUSTIN - (Acute Care)
    1201 W 38TH ST
    AUSTIN, TX 78705
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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