Provider Demographics
NPI:1801851225
Name:RECIO, SALVADOR RAFAEL (MD)
Entity Type:Individual
Prefix:
First Name:SALVADOR
Middle Name:RAFAEL
Last Name:RECIO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:22698 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-5701
Mailing Address - Country:US
Mailing Address - Phone:281-312-8530
Mailing Address - Fax:281-312-8532
Practice Address - Street 1:22710 PROFESSIONAL DR
Practice Address - Street 2:SUITE 203
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6008
Practice Address - Country:US
Practice Address - Phone:281-312-8530
Practice Address - Fax:281-312-8532
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2023-12-29
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Provider Licenses
StateLicense IDTaxonomies
TXJ7636207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX102527202Medicaid
F92279Medicare UPIN
TX102527202Medicaid