Individual
SELENA LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 W COUNTRY CLUB RD STE 210, ROSWELL, NM 88201-5240
(575) 622-2911
(575) 622-2598
Mailing address
300 W COUNTRY CLUB RD STE 210, ROSWELL, NM 88201-5240
(575) 622-2911
(575) 622-2598
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD2015-0542
NM
207Y00000X
Otolaryngology Physician
PG168875
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2010
Last updated
07/14/2026
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