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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA J SOUTHWARD, PAC

Active

TINA J SOUTHWARD, PAC is a Medical Physician Assistant healthcare provider located in ROSWELL, New Mexico. NPI 1164434387 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ROSWELL, NM

Registration Details

NPI Number
1164434387
Provider Type
Individual
Gender
Female
NPI Issued
Aug 13, 2006 (19.967402753138 yrs)
Last Updated
Jul 12, 2019
License
95-PA10 (NM)

Practice Information

Address
75 UNIVERISTY BLVD
STE 130
ROSWELL, NM, 88203
Browse NM providers · Browse ZIP 88203
Phone
5756247207
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in ROSWELL, NM

Name Credential NPI
MRS. SHANNON BALLARD CALLAWAY PA-C 1144224932
MR. SIDNEY CLYDE ENGLAND PA-C 1033197538
DAWN R KORF PA-C 1427025170
REBEKAH D CARLOZZI PA 1235218462
MR. STEPHEN MUHR PA 1548492382
MRS. SARAH LYNN EAST-BRUMANA PA-C 1912235201
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.