Provider Demographics
NPI:1932790110
Name:THI TELEHEALTH, LLC
Entity Type:Organization
Organization Name:THI TELEHEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TELEHEALTH
Authorized Official - Prefix:
Authorized Official - First Name:MYLINH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAGULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-381-9858
Mailing Address - Street 1:1726 ARCHER DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7528
Mailing Address - Country:US
Mailing Address - Phone:817-381-9858
Mailing Address - Fax:
Practice Address - Street 1:1726 ARCHER DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7528
Practice Address - Country:US
Practice Address - Phone:817-381-9858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THI TELEHEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20180079700OtherANCC
FL11001865OtherFL APRN
TX143903OtherTX APRN
TX143903OtherTX APRN