Individual provider · Type 1 NPI

Samuel Thomas Selby, DO

Pediatric Emergency Medicine (Pediatrics) Physician · Fort Worth, TX

NPI number 1114283652 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XE-9382 (AR)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XR6899 (TX)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1114283652

Samuel Thomas Selby, DO's National Provider Identifier is 1114283652, issued on Apr 10, 2012. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 9, 2021.