Individual
DR. RAMASAMY SELVARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 764-7000
Mailing address
PO BOX 3407, WICHITA FALLS, TX 76301-0407
(940) 763-1200
(940) 763-1207
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J0894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G9181
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/28/2006
Last updated
10/26/2007
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