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Individual
KODY SELZER
Active
Individual
KODY SELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R5036
MEDICAL STATE LICENSE
TX
Enumeration date
03/27/2016
Last updated
04/07/2020
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