Provider Demographics
NPI:1609952134
Name:ERSEK, ROBERT A (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:ERSEK
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 W 34TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1232
Mailing Address - Country:US
Mailing Address - Phone:512-459-6800
Mailing Address - Fax:512-451-9476
Practice Address - Street 1:630 W 34TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1232
Practice Address - Country:US
Practice Address - Phone:512-459-6800
Practice Address - Fax:512-451-9476
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9190174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist