| 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 |
|---|---|
| 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 |