Individual provider Active NPI

Selena Brown, CFA

  • Surgical Physician Assistant
  • Richmond, TX
National Provider Identifier
1972829463
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
9711 S Mason Rd Ste. 125
#311
Richmond, TX 77407
Phone
(713) 253-9381
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

9711 S Mason Rd Ste. 125
#311
Richmond, TX 77407

Mailing address

9711 S Mason Rd Ste. 125
#311
Richmond, TX 77407
Phone (713) 253-9381

Other practice location 1

7600 Fannin St
Houston, TX 77054-1906
Phone (713) 790-1234

Other practice location 2

7600 Fannin St
Houston, TX 77054-1906
Phone (713) 790-1234

Other practice location 3

18015 Mossy Creek Ln
Richmond, TX 77407-5068
Phone (713) 253-9381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1972829463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 S MASON RD STE. 125",
            "address_2": "#311",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "713-253-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 S MASON RD STE. 125",
            "address_2": "#311",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "713-253-9381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770541906",
            "country_code": "US",
            "telephone_number": "713-790-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770541906",
            "country_code": "US",
            "telephone_number": "713-790-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18015 Mossy Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774075068",
            "country_code": "US",
            "telephone_number": "713-253-9381",
            "fax_number": "281-463-6835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SELENA",
        "credential": "CFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.