Selous Healthcare LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SELOUS HEALTHCARE LLC

Practice address

704 Longmire Rd
Suite 101
Conroe, TX 77304-1850

Phone

(936) 441-2500

Fax

(936) 539-2515

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

David Degroot

Title

Ceo

Phone

(956) 878-4094

Specialties & licenses 1

Addresses

Other names 1

• Beyond Boundaries Pediatric Therapy Center Doing business as

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1982872883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 COTTONWOOD CREEK RD",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203993",
            "fax_number": "866-524-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LONGMIRE RD",
            "address_2": "SUITE 101",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041850",
            "telephone_number": "936-441-2500",
            "fax_number": "936-539-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELOUS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "DEGROOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-878-4094"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Boundaries Pediatric Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farly Sejour, MD
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• Kadie Brianne Sellers, ST
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• Todd Allen Senters Jr.
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• Vanessa Leigh Servantes, LPT

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Conroe, TX
• Providers in Conroe, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.