Laura E O'Halloran, MD
Individual provider Active NPI Plastic Surgery Physician · Tyler, TX
NPI 1659345338 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1659345338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- L5288 (TX)
- Practice address
- 3200 Troup Hwy
Ste 240
Tyler, TX 75701-8397 - Phone
- (903) 510-8888
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Texas Tech University Health Science Center School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
1302 N Pacific St
Christus Trinity Clinic
Mineola, TX 75773-1022
Phone (903) 569-5383
3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000
5321 S FM
14 Christus Trinity Clinic
Holly Lake Ranch, TX 75765-4839
Phone (903) 769-2990
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Christus Good Shepherd Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 44 |
| Melanoma (skin cancer) excision | 13 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050810000730 | TX | Practitioner - Plastic and Reconstructive Surgery | 5092744011 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5288 | TX | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients |
Locations
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
3200 Troup Hwy
Ste 240
Tyler, TX 75701
Phone (903) 510-8888
909 Ese 323 Loop
Ste 777
Tyler, TX 75701
Phone (903) 606-8888
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- lohalloran7805@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | L5288 | TX | |
| Plastic Surgery Physician | 208200000X | L5288 | TX | Yes |
Addresses
Primary practice location
3200 Troup Hwy
Ste 240
Tyler, TX 75701-8397
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450
Other practice location 1
909 Ese 323 Loop
Tyler, TX 75701
Phone (903) 606-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175071301 | Medicaid | TX |
Other providers in Tyler, TX
- Kyle O'Brien
- Galinda O'Connor
- Maura Ann O'Dea
- Ashlee O'Dell
- Kassidi O'Gorman
- Andrew O'Kelley
- Mollie O'Leary
- Dawn Elise O'Neal
- Steven Martin O'Neal
- O2 Connection LLC
All providers in Tyler, TX · Plastic Surgery 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 Mar 10, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.