Organization
SELMER ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE BRANDON JOHNSON (PRESIDENT)
(972) 941-0940
Entity
Organization
Contact information
Practice address
1503 ABBEVILLE DR, WYLIE, TX 75098-8496
(972) 941-0940
(972) 941-6705
Mailing address
1503 ABBEVILLE DR, WYLIE, TX 75098-8496
(972) 941-0940
(972) 941-6705
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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