Provider Demographics
NPI:1881822476
Name:SELBST, BRIAN H (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:H
Last Name:SELBST
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17115 RED OAK DR
Mailing Address - Street 2:SUITE 218
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2641
Mailing Address - Country:US
Mailing Address - Phone:832-930-0362
Mailing Address - Fax:832-779-4362
Practice Address - Street 1:17115 RED OAK DR
Practice Address - Street 2:SUITE 218
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2641
Practice Address - Country:US
Practice Address - Phone:832-930-0362
Practice Address - Fax:832-779-4362
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2006213ES0103X, 213ES0000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist