TINA SOUTHWARD, PAC

Physician Assistant - Medical

Active Individual
NPI: 1164434387

Practice Address

75 UNIVERISTY BLVD
STE 130
Roswell, NM 88203

Phone: (575) 624-7207

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes 95-PA10 (NM)

Frequently Asked Questions

NPI 1164434387 is the National Provider Identifier for TINA SOUTHWARD, PAC, a Physician Assistant - Medical provider located in Roswell, NM. This NPI was enumerated on August 13, 2006.
TINA SOUTHWARD, PAC practices at 75 UNIVERISTY BLVD, STE 130, Roswell, NM 88203.

Quick Facts

NPI
1164434387
Type
Individual
Enumerated
Aug 13, 2006
Last Updated
Jul 12, 2019

Nearby Providers