Provider Demographics
NPI:1760784409
Name:DESERT HEALTH, LLC
Entity Type:Organization
Organization Name:DESERT HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ORIENTAL MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:ABBEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:THEROUX
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-205-8941
Mailing Address - Street 1:3500 COMANCHE RD NE
Mailing Address - Street 2:SUITE A3
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-4546
Mailing Address - Country:US
Mailing Address - Phone:505-205-8941
Mailing Address - Fax:
Practice Address - Street 1:3500 COMANCHE RD NE
Practice Address - Street 2:SUITE A3
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-4546
Practice Address - Country:US
Practice Address - Phone:505-205-8941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty