Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gator PA 1st Assist, LLC

Organization Surgical Physician Assistant · NPI 1508102559

Gator PA 1st Assist, LLC is a Surgical Physician Assistant in Austin, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10900 Stonelake Blvd Ste A-320
Austin, TX 78759-5833
Phone: (866) 698-0052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA01673 (TX)

Record details

NPI number1508102559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Ahmed — Owner · (972) 814-6341
NPI enumeratedDecember 19, 2012
Last updated in NPPESDecember 19, 2012
Mailing address10900 Stonelake Blvd Ste A-320, Austin, TX 78759-5833

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