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NPI Code Detail

MEDICARE: DR. MICHAEL ANTHONY SELVA MD

MEDICARE:  DR. MICHAEL ANTHONY SELVA  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
12085R0001XRadiation Oncology PhysicianJ9919TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164450581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ANTHONY SELVA MD
Provider Business Mailing Address
First Line : PO BOX 781854
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78278-1854
Country : US
Telephone Number : 210-827-0658
Fax Number :
Provider Business Practice Location Address
First Line : 103 WELLESLEY CV
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78231-2272
Country : US
Telephone Number : 210-827-0658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/17/2025

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Directions to “ DR. MICHAEL ANTHONY SELVA MD” Practice Location

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