Provider Demographics
NPI:1801439286
Name:MYERS, SELIMA MARIE (PNP-PC)
Entity type:Individual
Prefix:
First Name:SELIMA
Middle Name:MARIE
Last Name:MYERS
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:SELIMA
Other - Middle Name:MARIE
Other - Last Name:BARLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5503 BURR BLF
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78266-4423
Mailing Address - Country:US
Mailing Address - Phone:210-382-1879
Mailing Address - Fax:
Practice Address - Street 1:7700 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3902
Practice Address - Country:US
Practice Address - Phone:210-871-4409
Practice Address - Fax:210-524-9599
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX880426163W00000X
TXAP143098363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse