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GATOR PA 1ST ASSIST, LLC
NPI 1508102559
Physician Assistant - Surgical in Austin, TX

Active since December 19, 2012
10900 STONELAKE BLVD STE A-320, AUSTIN, TX 78759(866) 698-0052 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gator Pa 1st Assist, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATOR PA 1ST ASSIST, LLC (NPI 1508102559) is a healthcare organization registered as a surgical in Austin, Texas and active in the NPI registry since December 2012. The organization lists Pamela Ann Ahmed, Owner, as its authorized official.

NPPES Registry Identity

NPI1508102559
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameGATOR PA 1ST ASSIST, LLC
Location Address10900 STONELAKE BLVD STE A-320Austin, TX 78759-5833
Mailing Address10900 Stonelake Blvd Ste A-320Austin, TX 78759-5833 · (866) 698-0052
Phone(866) 698-0052
Organization SubpartNo
Authorized OfficialPamela Ann AhmedOwner · (972) 814-6341
Enumeration DateDecember 19, 2012
✔ NPI 1508102559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA01673
10900 STONELAKE BLVD STE A-320, Austin, TX 78759
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Other Identifiers 1

Medicare UPINS68946TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gator PA 1st Assist, LLC's NPI number?

The NPI number for Gator PA 1st Assist, LLC is 1508102559. It was assigned to this organization in the NPPES registry on December 19, 2012.

Where is Gator PA 1st Assist, LLC located?

Gator PA 1st Assist, LLC is located at 10900 Stonelake Blvd Ste A-320, Austin, TX 78759. The listed phone number is (866) 698-0052.

What is Gator PA 1st Assist, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Gator PA 1st Assist, LLC was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.