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Contact Information

PRISMA DAVALOS, PA-C
42121 US HWY 70
PORTALES, NM88130
 Phone: 575-356-6652
 Fax: 575-359-6827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PRISMA DAVALOS · (Female)

NPI Number 1871220327
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/04/2022
Last updated 12/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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