GATOR PA 1ST ASSIST LLC NPI 1508102559

NPI Information

NPI: 1508102559
Provider Name: GATOR PA 1ST ASSIST, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
10900 STONELAKE BLVD STE A-320
AUSTIN, TX
ZIP 78759
Phone: (866) 698-0052
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GATOR PA 1ST ASSIST, LLC is a surgical physician assistant in Austin, TX. GATOR PA 1ST ASSIST, LLC NPI is 1508102559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10900 STONELAKE BLVD STE A-320
AUSTIN, TX
ZIP 78759-833
Phone: (866) 698-0052

The provider's authorized official is Pamela Ann Ahmed .
The authorized official title is Owner and has the following contact phone number (972) 814-6341.

The enumeration date for this NPI number is 12/19/2012 and was last updated on 12/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA01673	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S68946	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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