# SELAH HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104666551
- **Authorized official:** DALTON DIVAKARAN (CEO AND PRESIDENT)
- **Authorized official phone:** (972) 900-1881

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2024
- **Last updated:** 05/31/2024