NPI 1003248931
Tia M Roes, PAC
Practice location
- Address
- 145 Don Pasqual NW, Los Lunas, NM 87031
- Phone
- (505) 865-4618
- Fax
- (505) 224-8727
- Mailing address
- 116 Arroyo Dr, Socorro, NM 87801-4403
Registered specialties
Physician Assistant
Primary
Registry record
- NPI
- 1003248931
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Aug 2013
- Record last updated
- 2 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.