Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina J Southward, PAC

Individual provider Medical Physician Assistant · NPI 1164434387

Tina J Southward, PAC is a Medical Physician Assistant in Roswell, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

75 Univeristy Blvd Ste 130
Roswell, NM 88203
Phone: (575) 624-7207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 407 W Country Club Rd, Roswell, NM 88201-5209 — (575) 627-9110

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 95-PA10 (NM)

Record details

NPI number1164434387
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESJuly 12, 2019

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