Individual provider Active NPI

Laura E O'Halloran, MD

  • Plastic Surgery Physician
  • Tyler, TX
National Provider Identifier
1659345338
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
L5288 Issued in TX
Practice address
3200 Troup Hwy
Ste 240
Tyler, TX 75701-8397
Phone
(903) 510-8888
NPI assigned
Feb 17, 2006
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X L5288 TX
Plastic Surgery Physician 208200000X L5288 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000730 TX Practitioner - Plastic and Reconstructive Surgery 5092744011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 TexasGroup PAC ID 3072426741, 1,540 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy44
Melanoma (skin cancer) excision13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L5288TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2005 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2005 Accepting new patients
Mother Frances Hospital Jacksonville 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

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

909 Ese 323 Loop
Ste 777
Tyler, TX 75701
Phone (903) 606-8888

Interoperability endpoints

  • Direct secure messaging: lohalloran7805@christushealth.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Christus Trinity ClinicHawkins, TX, CCN 673886 Rural health clinic Corporate Director Jan 1, 2021
Christus Trinity ClinicQuitman, TX, CCN 673823 Rural health clinic Corporate Director Jan 1, 2021
Christus Trinity ClinicMineola, TX, CCN 673825 Rural health clinic Corporate Director Jan 1, 2021
Christus Trinity ClinicCanton, TX, CCN 673822 Rural health clinic Corporate Director Jan 1, 2021
Christus Trinity ClinicEmory, TX, CCN 673811 Rural health clinic Corporate Director Jan 1, 2021
Christus Trinity ClinicWinnsboro, TX, CCN 678958 Rural health clinic Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1659345338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TROUP HWY",
            "address_2": "STE 240",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018397",
            "telephone_number": "903-510-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 ESE 323 LOOP",
            "address_purpose": "LOCATION",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "country_code": "US",
            "telephone_number": "903-606-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "LAURA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "L5288",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L5288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.