Individual
DR. SAMUEL THOMAS SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4095
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E-9382
AR
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
R6899
TX
Other
Enumeration date
04/10/2012
Last updated
04/09/2021
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