MEDICARE: SELINA LIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	H8213	TX

General Provider Information

NPI Number	:	1093793630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SELINA LIN M.D.

Provider Business Mailing Address
First Line	:	23920 KATY FWY STE 440
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0881
Country	:	US
Telephone Number	:	281-392-2266
Fax Number	:	281-392-3147

Provider Business Practice Location Address
First Line	:	23920 KATY FWY STE 440
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0881
Country	:	US
Telephone Number	:	281-392-2266
Fax Number	:	281-392-3147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	02/15/2022

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