Southward, Tina J
Southward, Tina J is an individual health care provider with primary practice located at 75 Univeristy Blvd Ste 130, Roswell NM 88203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Southward, Tina J can be contacted via phone (575) 624-7207.Contact Information
Primary practice address
75 Univeristy Blvd Ste 130
Roswell NM 88203
Phone: (575) 624-7207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 95-PA10 | New Mexico |
Profile Details
| NPI number | 1164434387 |
|---|---|
| LBN Legal business name | Southward, Tina J |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 12th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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