Immersiv Health of Texas, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 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

Last updated

Jul 17, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Son Hee Han

Title

Ceo

Phone

(877) 551-6650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura L Elizondo, APRN

  • Acute Care Nurse Practitioner
  • Kyle, TX
  • NPI 1447056858
  Medicare reassignment Care Compare group NPD
• Adrienne N Fields, ACNP-BC

  • Acute Care Nurse Practitioner
  • Randolph AFB, TX
  • NPI 1083092357
  Medicare reassignment Care Compare group NPD
• Rebecca Lee Jones, M.D.

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1104260819

  TX

  Medicare reassignment Care Compare group NPD
• Saba Haq, MD

  • Emergency Medicine Physician
  • San Ramon, CA
  • NPI 1669460085

  TX

  Medicare reassignment NPD
• Ashley Dometrius, CPNP-PC

  • Pediatric Nurse Practitioner
  • Lubbock, TX
  • NPI 1730540097
  Medicare reassignment
• Margaret O'Neal

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1245067602
  Medicare reassignment
• Christina Michelle Taylor

  • Acute Care Nurse Practitioner
  • Raymondville, TX
  • NPI 1790236081
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1336035872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NE 191ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "fax_number": "855-694-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY STE 310",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406179",
            "telephone_number": "877-551-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Green Hollow Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765026246",
            "country_code": "US",
            "telephone_number": "877-551-6650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S Coulter St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061765",
            "country_code": "US",
            "telephone_number": "877-551-6650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5424 19th St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072164",
            "country_code": "US",
            "telephone_number": "877-551-6650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Colonnade Pkwy Ste F",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767124326",
            "country_code": "US",
            "telephone_number": "817-551-6650",
            "fax_number": "855-694-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMMERSIV HEALTH OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SON HEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-551-6650"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Huynh
• Alexander Thomas Hynes, D.O.
• Aroldo Jose Ibarra Jr., PA
• Rachel Ibarra
• Ariel Ibuaka
• Inertia Sports and Family Medicine, PLLC
• Rose Ingala, M.D.
• Mobina Iranshahi
• J&a Dental Partners
• Angela Ann Jackson, LCSW-S

• Infectious Disease Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.