Seljay Operations LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

SELJAY OPERATIONS LLC

Practice address

106 Hillcrest St
Lake Dallas, TX 75065-2330

Phone

(181) 756-9006

Fax

(979) 481-5221

NPI assigned

Sep 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Briley

Title

President

Phone

(817) 569-0067

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1124501523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HILLCREST ST",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652330",
            "telephone_number": "181-756-9006",
            "fax_number": "979-481-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HILLCREST ST",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652330",
            "telephone_number": "181-756-9006",
            "fax_number": "979-481-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELJAY OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "BRILEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-569-0067"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Todd Pegram II, CSFA
• Carmen Phillips White, FNP-BC
• Qualifying Respiratory Services
• Relevant Care Home Health Agency
• Zekiela Riley, RN
• Alicia Spencer, COTA
• Madisen Tayler Stacks
• Together We Care
• Parker Anson Toliver, DC
• Orland Eugene Woodard, RRT

• Electrodiagnostic Medicine Physician in Lake Dallas, TX
• Providers in Lake Dallas, TX by specialty
• Electrodiagnostic Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.