Immersiv Health of Texas, PLLC
Organization Active NPI Infectious Disease Physician · Kyle, TX
NPI 1336035872 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1336035872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- IMMERSIV HEALTH OF TEXAS, PLLC
- Practice address
- 1180 Seton Pkwy Ste 310
Kyle, TX 78640-6179 - Phone
- (877) 551-6650
- NPI assigned
- Jun 12, 2025
- Organization subpart
- No
Authorized official
- Name
- Son Hee Han
- Title
- Ceo
- Phone
- (877) 551-6650
Practitioners 7
-
Laura L Elizondo, APRN
-
Adrienne N Fields, ACNP-BC
-
Rebecca Lee Jones, M.D.
-
Saba Haq, MD
-
Ashley Dometrius, CPNP-PC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251216002962 | TX | Part B Supplier - Clinic/Group Practice | 9032604129 |
Receives reassigned benefits from 7 practitioners Practice locations: Kyle, TX; Lubbock, TX; Temple, TX |
National Provider Directory
Locations
1180 Seton Pkwy
Ste 310
Kyle, TX 78640
Phone (877) 551-6650
5424 19th St
Ste 402
Lubbock, TX 79407
Phone (877) 551-6650
354 Green Hollow Dr
Ste 120
Temple, TX 76502
Phone (877) 551-6650
203 Colonnade Pkwy
Ste F
Waco, TX 76712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | Yes |
Addresses
Primary practice location
1180 Seton Pkwy Ste 310
Kyle, TX 78640-6179
Mailing address
382 NE 191St St
Miami, FL 33179-3899
Other practice location 1
203 Colonnade Pkwy Ste F
Waco, TX 76712-4326
Phone (817) 551-6650
Other practice location 2
1301 S Coulter St Ste 200
Amarillo, TX 79106-1765
Phone (877) 551-6650
Other practice location 3
5424 19th St Ste 402
Lubbock, TX 79407-2164
Phone (877) 551-6650
Other practice location 4
354 Green Hollow Dr Ste 120
Temple, TX 76502-6246
Phone (877) 551-6650
Other providers in Kyle, TX
- Melisa Denae Hurst
- Trang Huynh
- Alexander Thomas Hynes
- Aroldo Jose Ibarra Jr.
- Ariel Ibuaka
- Inertia Sports and Family Medicine, PLLC
- Rose Ingala
- Mobina Iranshahi
- J&a Dental Partners
- Angela Ann Jackson
All providers in Kyle, TX · Infectious Disease Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.