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Organization

SELAH HEALTH

Active
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Organization

SELAH HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DALTON DIVAKARAN (CEO AND PRESIDENT)
(972) 900-1881
Entity
Organization

Contact information

Practice address
5752 GRANDSCAPE BLVD STE 225, THE COLONY, TX 75056-6772
(972) 900-1881
Mailing address
5752 GRANDSCAPE BLVD STE 225, THE COLONY, TX 75056-6772

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL

Other

Enumeration date
05/31/2024
Last updated
05/31/2024
About Stedi
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