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Individual
SELBY JOHNSON II
Active
Individual
SELBY JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2020-00209
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
S0914
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/29/2016
Last updated
07/15/2022
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