Healthcare Provider Details

I. General information

NPI: 1760486757
Provider Name (Legal Business Name): SALVATORE A BARBARO III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19016 STONE OAK PKWY STE 190
SAN ANTONIO TX
78258-3280
US

IV. Provider business mailing address

PO BOX 1196
SAN ANTONIO TX
78294-1196
US

V. Phone/Fax

Practice location:
  • Phone: 210-490-4600
  • Fax: 210-490-4651
Mailing address:
  • Phone: 210-490-4600
  • Fax: 210-490-4651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberJ7900
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: