Most Relevant Information
Provider Data
| NPI Number: | 1003502345 |
| Provider Name: | JONATHAN MICHAEL SELVA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2023 |
| Last Updated: | 04/11/2023 |
Provider Practice Location
6431 FANNIN ST RM 5.170
HOUSTON
TX
770301501
Practice Location Phone/Fax
| Phone: | 7135006299 |
| Fax: | 7135000648 |
Provider Mailing Location
6431 FANNIN ST RM 5.170
HOUSTON
TX
770301501
Provider Mailing Phone/Fax
| Phone: | 7135006299 |
| Fax: | 7135000648 |