| Prisma Davalos, PA-C | |
|
42121 Us Hwy 70, Portales, NM 88130 | |
| (575) 356-6652 | |
| (575) 359-6827 |
| Full Name | Prisma Davalos |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 42121 Us Hwy 70, Portales, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871220327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Davalos, PA-C Po Box 299, Portales, NM 88130-0299 Ph: (575) 356-6652 | Prisma Davalos, PA-C 42121 Us Hwy 70, Portales, NM 88130 Ph: (575) 356-6652 |
Matthew Laumbach, MPAS PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827 | |
Olivia Alexis Westcott, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 304 S Main Ave, Portales, NM 88130 Phone: 575-226-3023 Fax: 575-226-3024 | |
Neelu Finley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-226-0099 | |
Ms. Melisa Sayson Valmoria, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 304 S Main Ave, Portales, NM 88130 Phone: 575-226-3023 Fax: 575-226-3024 | |
Lola Beltran, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827 |