Dr TINA J SOUTHWARD PA is a female medical professional, specializing in Physician Assistant. She graduated in 1990.
MASOUD KHORSAND-SAHBAIE MD PA
407 W COUNTRY CLUB RD
ROSWELL
NM
882015209
Tel: 5056279110
| Npi | 1164434387 |
| Pac Id | 9638273915 |
| Professional Enrollment Id | I20070326000363 |
| Last Name | SOUTHWARD |
| First Name | TINA |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | MASOUD KHORSAND-SAHBAIE MD PA |
| Group Practice Pac Id | 8729068911 |
| Number Of Group Practice Members | 18 |
| Line 1 Street Address | 407 W COUNTRY CLUB RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ROSWELL |
| State | NM |
| Zip Code | 882015209 |
| Phone Number | 5056279110 |
| Hospital Affiliation Ccn 1 | 320030 |
| Hospital Affiliation Lbn 1 | ARTESIA GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 320006 |
| Hospital Affiliation Lbn 2 | EASTERN NEW MEXICO MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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