Mr Thomas Earl Himelick, PA-C, MMSC | |
Bia Route 125, Pine Hill Health Center, Pinehill, NM 87357 | |
(505) 775-3271 | |
Not Available |
Full Name | Mr Thomas Earl Himelick |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | Bia Route 125, Pinehill, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073840930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA2002-0034 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Earl Himelick, PA-C, MMSC Hc 61 Box 5022, Ramah, NM 87321-9803 Ph: (505) 783-4047 | Mr Thomas Earl Himelick, PA-C, MMSC Bia Route 125, Pine Hill Health Center, Pinehill, NM 87357 Ph: (505) 775-3271 |