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
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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