Provider Demographics
NPI:1043368566
Name:ANSON & HIGGINS PLASTIC SURGERY ASSOC.
Entity Type:Organization
Organization Name:ANSON & HIGGINS PLASTIC SURGERY ASSOC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GOESEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-822-2100
Mailing Address - Street 1:7135 W SAHARA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2828
Mailing Address - Country:US
Mailing Address - Phone:702-822-2100
Mailing Address - Fax:702-822-2105
Practice Address - Street 1:7135 W SAHARA AVE STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2828
Practice Address - Country:US
Practice Address - Phone:702-822-2100
Practice Address - Fax:702-822-2105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV245141174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty