Individual
XAN ASMODEUS GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCHW S2
Contact information
Practice address
2130 GARRISON RD, LAS CRUCES, NM 88001-5706
(575) 915-4059
Mailing address
2130 GARRISON RD, LAS CRUCES, NM 88001-5706
(575) 915-4059
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
S1-2015
NM
172V00000X
Community Health Worker
Primary
S2-2060
NM
Other
Enumeration date
04/08/2026
Last updated
05/14/2026
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