Search › Oklahoma › 261QM0801X

Jimmy Selanders

NPI 1265821102 · on the registry since 2015 · sole proprietor

Practice

Address
32300 S 625 Rd
Grove, OK 74344
Phone
(918) 786-2930
Fax
(918) 786-5985
Organisation at this address
House Of Hope Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
261QM0801X
261QM0801X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma