MEDICARE: HAROLD SELZMAN MD

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	207R00000X	Internal Medicine Physician	D0293	TX

General Provider Information

NPI Number	:	1720092455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD SELZMAN MD

Provider Business Mailing Address
First Line	:	1315 ST JOSEPH PKWY
Second Line	:	STE 1800
City	:	HOUSTON
State	:	TX
Zip	:	77002-8234
Country	:	US
Telephone Number	:	713-651-0022
Fax Number	:	713-568-2776

Provider Business Practice Location Address
First Line	:	4299 SAN FELIPE ST
Second Line	:	#300
City	:	HOUSTON
State	:	TX
Zip	:	77027-2921
Country	:	US
Telephone Number	:	832-476-3900
Fax Number	:	832-476-3990

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	02/19/2019

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