Individual provider · Type 1 NPI

Jordan Stellato, PA-C

Surgical Physician Assistant · Dallas, TX

NPI number 1093335028 Active

Practice location

8230 Walnut Hill Ln Ste 320
Dallas, TX 75231-4481

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA13728 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1093335028

Jordan Stellato, PA-C's National Provider Identifier is 1093335028, issued on Apr 20, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Sep 4, 2020.