OrganizationActive
Physician Assistant Surgical Specialists
NPI 1093046963 · Surgical Physician Assistant · Las Vegas, NV
Provider details
- NPI number
- 1093046963
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Henry Van Vleet, Physician Assistant(702) 614-4178
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8979 Haviland Rd
Las Vegas, NV 89123-0617
Phone: (702) 614-4178
Fax: (702) 614-4179
Approximate (ZIP-level) locationGet directions
Mailing address
8979 Haviland Rd
Las Vegas, NV 89123-0617
Registry dates
- Enumerated
- 2010-01-16
- Last updated
- 2010-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.