MEDICARE: JOHN A SALVAGGIO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	J2775	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	930068307	OTHER	TX	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0039DB	OTHER	TX	BCS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154363067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A SALVAGGIO MD

Provider Business Mailing Address
First Line	:	6800 WEST LOOP S
Second Line	:	STE 300
City	:	BELLAIRE
State	:	TX
Zip	:	77401-4522
Country	:	US
Telephone Number	:	214-725-1319
Fax Number	:	888-727-8468

Provider Business Practice Location Address
First Line	:	5521 GREENVILLE AVE
Second Line	:	#104-248
City	:	DALLAS
State	:	TX
Zip	:	75206-2925
Country	:	US
Telephone Number	:	214-725-1319
Fax Number	:	888-727-8468

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	01/29/2016

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Directions to “ JOHN A SALVAGGIO MD” Practice Location

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