Brian Plasters

Individual provider Active NPI Case Manager/Care Coordinator · Deming, NM

NPI 1508288598 · NPPES record last updated Jan 10, 2014

Key facts

NPI
1508288598
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
9025 Hwy 377 NE
Deming, NM 88030
Phone
(575) 494-5832
NPI assigned
Jan 10, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

9025 Hwy 377 NE
Deming, NM 88030

Mailing address

1320 S Solano
Las Cruces, NM 88001
Phone (575) 527-7900

Other providers in Deming, NM

All providers in Deming, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.