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Individual

SELBY JOHNSON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
615 CANYONWOOD LN, SAN ANTONIO, TX 78227-1115
(210) 259-3160
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2020-00209
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
S0914
TX
390200000X
Student in an Organized Health Care Education/Training Program
TX

Other

Enumeration date
03/29/2016
Last updated
07/15/2022
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