MEDICARE: JORDAN AMADIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	R5689	TX

General Provider Information

NPI Number	:	1497987432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN AMADIO

Provider Business Mailing Address
First Line	:	4207 JAMES CASEY ST STE 111
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-3362
Country	:	US
Telephone Number	:	512-409-9903
Fax Number	:

Provider Business Practice Location Address
First Line	:	4207 JAMES CASEY ST STE 111
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-3362
Country	:	US
Telephone Number	:	512-409-9903
Fax Number	:	918-493-3304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2009
Last Update Date	:	01/12/2026

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Directions to “ JORDAN AMADIO ” Practice Location

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