Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Thomas Selby, DO

Individual provider Pediatrics Physician · NPI 1114283652

Dr. Samuel Thomas Selby, DO is a Pediatric Medicine in Fort Worth, Texas. Qualified in 2012, 14 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
14
Licensed in
AR, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

801 7th Ave
Fort Worth, TX 76104-2733
Phone: (682) 885-4095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence R6899 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence E-9382 (AR)

Record details

NPI number1114283652
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 9, 2021
Mailing addressPo Box 733784, Dallas, TX 75373-3784

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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