NPI 1164400354

Timothy E Herndon, MD

Practitioner General Practice Physician Las Cruces, NM

Practice location

Address: 4351 E Lohman Ave Suite 100, Las Cruces, NM 88011-8259
Phone: (575) 532-9077
Fax: (575) 532-9221
Mailing address: 2661 S Bear Claw Way, Meridian, ID 83642-4468

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence M-13463 (ID)

Other General Practice providers in New Mexico →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 82-210 (NM)

Other Pediatrics providers in New Mexico →

Registry record

NPI: 1164400354
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jan 2006
Record last updated: 21 May 2021

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.