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Individual

DAVID F SELLERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4080 SUMMERHILL SQ, TEXARKANA, TX 75503-2730
(903) 793-7994
(903) 793-7996
Mailing address
PO BOX 988, TEXARKANA, TX 75504-0988
(903) 793-7994
(903) 793-7996

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
235571
TX
367500000X
Certified Registered Nurse Anesthetist
AP101349
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109670303
TX
05
128073701
AR
01
84293C
BLUE CROSS
TX
01
97081
BLUE CROSS
AR
Enumeration date
07/13/2005
Last updated
06/02/2021
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