Richard R Selvaggi, MD | |
1705 Live Oak St, Commerce, TX 75428 | |
(903) 886-8818 | |
Not Available |
Full Name | Richard R Selvaggi |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1705 Live Oak St, Commerce, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700871498 | NPI | - | NPPES |
111557801 | Medicaid | TX | |
111557802 | Medicaid | TX | |
114613601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QH0002X | Family Medicine - Hospice And Palliative Medicine | F7154 (Texas) | Secondary |
207Q00000X | Family Medicine | F7154 (Texas) | Primary |
Entity Name | Hunt Regional Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235435892 PECOS PAC ID: 7517137748 Enrollment ID: O20110826000158 |
Mailing Address | Practice Location Address |
---|---|
Richard R Selvaggi, MD 1705 Live Oak St, Commerce, TX 75428-2551 Ph: (903) 886-8818 | Richard R Selvaggi, MD 1705 Live Oak St, Commerce, TX 75428 Ph: (903) 886-8818 |
Thomas C Selvaggi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1705 Live Oak St, Commerce, TX 75428 Phone: 903-886-8818 Fax: 903-886-8765 | |
Dr. Tony Glen Wallen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 State Highway 24 Ste A, Commerce, TX 75428 Phone: 903-886-3161 Fax: 903-453-3923 |