Healthcare Provider Details

I. General information

NPI: 1497286009
Provider Name (Legal Business Name): MARGARET ANNE WILLIAMS BURGER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 11/29/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 BALCONES DR STE 200
AUSTIN TX
78731-4268
US

IV. Provider business mailing address

3705 MEDICAL PKWY STE 320
AUSTIN TX
78705-1023
US

V. Phone/Fax

Practice location:
  • Phone: 512-836-8786
  • Fax: 512-836-8794
Mailing address:
  • Phone: 512-454-0392
  • Fax: 512-371-7098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA11903
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: