Individual
DR. MONIQUE I SELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4204 GARDENDALE ST, SUITE 312, SAN ANTONIO, TX 78229-3132
(210) 614-0180
Mailing address
4204 GARDENDALE ST, SUITE 312, SAN ANTONIO, TX 78229-3132
(210) 614-0180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
227823
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073526/A
—
MA
Enumeration date
05/25/2006
Last updated
03/29/2017
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