Provider Demographics
NPI:1962245852
Name:SPECTRA HEALTH PLLC.
Entity type:Organization
Organization Name:SPECTRA HEALTH PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LALANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-352-3714
Mailing Address - Street 1:712 S BROWNE ST
Mailing Address - Street 2:
Mailing Address - City:KARNES CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78118-3802
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:712 S BROWNE ST
Practice Address - Street 2:
Practice Address - City:KARNES CITY
Practice Address - State:TX
Practice Address - Zip Code:78118-3802
Practice Address - Country:US
Practice Address - Phone:682-207-8017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care