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Robert Michael Gray

Community Health Worker in Las Cruces, NM. Individual provider (NPI-1).

NPI number1104779636
StatusActive
Last updated in NPPESFeb 16, 2026

Details

NPI
1104779636
Entity type
Individual (NPI-1)
Name
Robert Michael Gray
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 16, 2026
Certification date
Feb 16, 2026
Last updated
Feb 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health WorkerG-1967NMYes

Practice location

3332 Green Ridge Ct
Las Cruces, NM 88005-1173

Phone 575-800-4739

Mailing address

3332 Green Ridge Ct
Las Cruces, NM 88005-1173

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