Individual
DR. ALON DUANE SELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(217) 347-5830
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 519-1940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H4694
TX
207Q00000X
Family Medicine Physician
H4694
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02639360
—
NM
05
—
138387905
—
TX
05
—
138387913
—
TX
01
—
86466F
BCBS
TX
01
—
930053531
MEDICARE RAILROAD
TX
Enumeration date
01/13/2006
Last updated
02/07/2014
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