Provider Demographics
NPI:1023590775
Name:ATX ROBOTIC SURGERY, LLC
Entity type:Organization
Organization Name:ATX ROBOTIC SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:SUDEEP
Authorized Official - Middle Name:DUSTIN
Authorized Official - Last Name:BURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:512-436-9986
Mailing Address - Street 1:4319 JAMES CASEY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1189
Mailing Address - Country:US
Mailing Address - Phone:512-630-0070
Mailing Address - Fax:
Practice Address - Street 1:4319 JAMES CASEY ST STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1189
Practice Address - Country:US
Practice Address - Phone:512-630-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP3863OtherUPIN