Tina J Southward, PAC is a medical physician assistant in Roswell, NM. Tina J Southward, PAC NPI is 1164434387. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
75 UNIVERISTY BLVD
STE 130
ROSWELL, NM
ZIP 88203
Phone: (575) 624-7207
The NPI 1164434387 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/13/2006 and was last updated on 7/12/2019.