| NPI | 1982183737 |
|---|---|
| Other Name | DESERT SAGE MEDICAL HOME |
| Entity Type | Organization |
| Authorized Contact | NATIVIDAD GONZALEZ Medical Services Accounts Officer 915-742-2753 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-12-03 |