Individual
SELAH WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6751 ABRAMS RD, DALLAS, TX 75231-0210
(214) 331-0567
Mailing address
6751 ABRAMS RD, DALLAS, TX 75231-0210
(214) 466-6376
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP00000
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP136513
TX
Other
Enumeration date
01/12/2018
Last updated
03/17/2018
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