Provider Demographics
NPI:1063457257
Name:SURGICAL ASSOCIATES OF AUSTIN, P.A.
Entity Type:Organization
Organization Name:SURGICAL ASSOCIATES OF AUSTIN, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARKUS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:512-472-1381
Mailing Address - Street 1:1015 E 32ND ST
Mailing Address - Street 2:308
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2707
Mailing Address - Country:US
Mailing Address - Phone:512-472-1381
Mailing Address - Fax:512-472-9688
Practice Address - Street 1:1015 E 32ND ST
Practice Address - Street 2:308
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2707
Practice Address - Country:US
Practice Address - Phone:512-472-1381
Practice Address - Fax:512-472-9688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0092208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty