Tina J Southward is a Medical in Roswell, New Mexico. Tina J Southward practices all healthcare services and medical treatments related to Medical. The NPI Number for Tina J Southward is 1164434387. The last update date is 2019-07-12.
Tina J Southward's current location address is 75 Univeristy Blvd, Roswell, New Mexico. You can contact this provider via phone number 5756247207. The mailing address for Tina J Southward is 75 Univeristy Blvd, Roswell, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina J Southward |
|---|---|
| Address | 75 Univeristy Blvd, Roswell, New Mexico |
| Phone Number | 5756247207 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1164434387 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2019-07-12 |
Provider Mailing Address Detail
| Address | 75 Univeristy Blvd |
|---|---|
| City | Roswell |
| State | New Mexico (NM) |
| Post Code | 88203 |
| Phone Number | 5756247207 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 95-PA10 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Tina J Southward's 1164434387?
The Tina J Southward's NPI (National Provider Identifier) Number is 1164434387. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tina J Southward's facilities are geographically located?
The facilities of Tina J Southward are physically situated at the following location: 75 Univeristy Blvd, Roswell, NM, 88203.
What is the Tina J Southward's area of specialization and corresponding taxonomy classification?
The Tina J Southward's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Tina J Southward receive the assignment of its 1164434387 from the Centers for Medicare & Medicaid Services?
The Tina J Southward was issued its 1164434387 by the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date was the information regarding Tina J Southward, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tina J Southward, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-12.