Search › New Mexico › 171M00000X
Otis Henderson, CASE MANAGER
NPI 1992337745 · on the registry since 2020
Practice
- Address
- 105 W Griggs Ave
Las Cruces, NM 88001 - Phone
- (575) 647-2879
- Fax
- (575) 647-2898
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico