Organization Active NPI

Select Health of TX, LLC

  • Neurological Surgery Physician
  • Irving, TX
National Provider Identifier
1578078119
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SELECT HEALTH OF TX, LLC
Practice address
6565 N Macarthur Blvd Ste 225a
Irving, TX 75039-2490
Phone
(615) 386-0064
Fax
(615) 386-0067
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
John Hannon
Title
SVP, Marketing and Communications
Phone
(615) 386-0064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X TX Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X TX

Addresses

Primary practice location

6565 N Macarthur Blvd Ste 225a
Irving, TX 75039-2490

Mailing address

102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064

Other practice location 1

4400 Long Prairie Rd
Flower Mound, TX 75028-1892
Phone (615) 386-0064

National Provider Directory

National Provider Directory

Locations

6565 N MacArthur Blvd
Ste 225A
Irving, TX 75039

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1578078119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052216",
            "telephone_number": "615-386-0064",
            "fax_number": "615-386-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N MACARTHUR BLVD STE 225A",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392490",
            "telephone_number": "615-386-0064",
            "fax_number": "615-386-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Long Prairie Rd",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750281892",
            "country_code": "US",
            "telephone_number": "615-386-0064",
            "fax_number": "615-386-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELECT HEALTH OF TX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SVP, MARKETING AND COMMUNICATIONS",
        "authorized_official_telephone_number": "615-386-0064"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.