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

Physician Assistant Surgical Specialists

Organization Surgical Physician Assistant · NPI 1093046963

Physician Assistant Surgical Specialists is a Surgical Physician Assistant in Las Vegas, Nevada. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

8979 Haviland Rd
Las Vegas, NV 89123-0617
Phone: (702) 614-4178
Fax: (702) 614-4179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1093046963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Van Vleet — Physician Assistant · (702) 614-4178
NPI enumeratedJanuary 16, 2010
Last updated in NPPESJanuary 16, 2010
Mailing address8979 Haviland Rd, Las Vegas, NV 89123-0617

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