Organization · Type 2 NPI
Gator PA 1st Assist, LLC
Surgical Physician Assistant · Austin, TX
NPI number
1508102559
Active
Practice location
10900 Stonelake Blvd Ste A-320
Austin, TX 78759-5833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA01673 (TX) |
Surgical Physician Assistant: Definition to come...
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About NPI 1508102559
Gator PA 1st Assist, LLC's National Provider Identifier is 1508102559, issued on Dec 19, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Austin, TX. The record was last updated on Dec 19, 2012.