Healthcare Provider Details

I. General information

NPI: 1598796054
Provider Name (Legal Business Name): NATALIE ZLATICA BURGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 01/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 N. MOPAC, BLDG 1, SUITE 1200
AUSTIN TX
78731
US

IV. Provider business mailing address

6500 N. MOPAC, BLDG 1, SUITE 1200
AUSTIN TX
78731
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-0149
  • Fax: 512-451-0977
Mailing address:
  • Phone: 512-451-0149
  • Fax: 512-451-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number042-0010791
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberM7073
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberM7073
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: