Individual
BARBARA SELMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5522 GRAND LAKE ST, BELLAIRE, TX 77401-4834
(713) 429-4919
(713) 665-3123
Mailing address
5522 GRAND LAKE ST, BELLAIRE, TX 77401-4834
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
MT104191
TX
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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