Physician Assistant, Surgical
NHI DAI PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1093253338 · enumerated 2017-02-07 · record updated 2021-05-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3930 HOWARD HUGHES PKWY STE 270, LAS VEGAS, NV, 89169-0906 Google Maps Apple Maps OpenStreetMap
- Practice location 3930 HOWARD HUGHES PKWY STE 270, LAS VEGAS, NV, 89169-0906 (800) 834-2420 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary
In this directory
Locations and evidence
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Practice location
LAS VEGAS, NV, 891690906
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.