Individual
SELENA JUAREZ STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1448 E COMMON ST, NEW BRAUNFELS, TX 78130-3162
(830) 643-1762
(830) 609-7702
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30115
AL
207RH0003X
Hematology & Oncology Physician
Primary
Q5289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04576241
—
MS
01
—
051116308
BCBS
AL
01
—
051116309
BCBS
AL
01
—
051116310
BCBS
AL
05
—
128506
—
AL
05
—
128581
—
AL
05
—
128584
—
AL
05
—
358200903
—
TX
Enumeration date
05/28/2008
Last updated
12/02/2020
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