Provider Demographics
NPI:1043218845
Name:SALVATO, PATRICIA DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:DENISE
Last Name:SALVATO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 RICHMOND AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5905
Mailing Address - Country:US
Mailing Address - Phone:713-961-7100
Mailing Address - Fax:713-961-3085
Practice Address - Street 1:6301 RICHMOND AVE STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5905
Practice Address - Country:US
Practice Address - Phone:713-961-7100
Practice Address - Fax:713-961-3085
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG00049207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138059405Medicaid
TX138059405Medicaid
TX83931NMedicare ID - Type Unspecified