| Tina J Southward, PAC | |
|
75 Univeristy Blvd, Ste 130, Roswell, NM 88203 | |
| (575) 624-7207 | |
| Not Available |
| Full Name | Tina J Southward |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 75 Univeristy Blvd, Roswell, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164434387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 95-PA10 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tina J Southward, PAC Po Box 1574, Roswell, NM 88202-1574 Ph: (575) 624-3470 | Tina J Southward, PAC 75 Univeristy Blvd, Ste 130, Roswell, NM 88203 Ph: (575) 624-7207 |
Mr. Sidney Clyde England, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 402 W Country Club Rd, Roswell, NM 88201 Phone: 575-627-9500 Fax: 575-627-9535 | |
Mark Amba Standley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 | |
Mrs. Shannon Ballard Callaway, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Country Club Rd Ste 130, Roswell, NM 88201 Phone: 575-625-2669 Fax: 575-624-4632 | |
Rebekah D Carlozzi, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 402 W. Country Club Rd, Roswell, NM 88201 Phone: 575-627-9500 Fax: 575-627-4127 | |
John C Thomas, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 115 E 19th St, Roswell, NM 88201 Phone: 575-622-7600 Fax: 575-622-3856 | |
Dawn R Korf, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N Pennsylvania Ave Ste 920, Roswell, NM 88201 Phone: 575-208-2509 Fax: 575-265-1700 |