MR. Thomas Earl Himelick, PA-C, MMSC

NPI #1073840930 in Pinehill, New Mexico

Provider Information

NPI Number: 1073840930
Entity Type: Individual
Name: MR. Thomas Earl Himelick, PA-C, MMSC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MMSC
Enumeration Date: Nov 12, 2009
Last Updated: Sep 16, 2020

Practice Location

Address: BIA ROUTE 125
Address 2: PINE HILL HEALTH CENTER
City: Pinehill
State: New Mexico
ZIP Code: 87357
Phone: (505) 775-3271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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