| Dr Gerard Vallejo, MD | |
|
379 Fm 2972 W, Rusk, TX 75785-3666 | |
| (903) 683-5781 | |
| Not Available |
| Full Name | Dr Gerard Vallejo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 379 Fm 2972 W, Rusk, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285029538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | L5936 (Texas) | Primary |
| Entity Name | Tyler Family Circle Of Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144575820 PECOS PAC ID: 4587812888 Enrollment ID: O20120911000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerard Vallejo, MD 379 Fm 2972 W, Rusk, TX 75785-3666 Ph: (903) 683-5781 | Dr Gerard Vallejo, MD 379 Fm 2972 W, Rusk, TX 75785-3666 Ph: (903) 683-5781 |
Dr. Troy Caldwell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 379 Fm 2972, B Pod Administrative Area, Rusk, TX 75785 Phone: 903-683-5781 | |
Young Youn, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1601 Dickinson Drive, Rusk, TX 75785 Phone: 903-683-7201 | |
Larry R Hawkins, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1601 N Dickinson Drive, Rusk, TX 75785 Phone: 903-683-3421 | |
Karen Plunkett, RN PMHNP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1601 N Dickinson, Rusk, TX 75785 Phone: 903-683-3421 | |
Harry Thompson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1601 Dickinson Drive, Rusk, TX 75785 Phone: 903-683-3421 | |
Rodolfo Rodriguez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1601 North Dickinson, Rusk, TX 75785 Phone: 903-683-3421 |