| Jesus Vallejo, MD | |
|
1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | |
| (254) 724-5437 | |
| (254) 724-7597 |
| Full Name | Jesus Vallejo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 1901 Sw H K Dodgen Loop Bldg 300, Temple, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053491399 | NPI | - | NPPES |
| 130503901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | H7667 (Texas) | Primary |
| Entity Name | Baylor College of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053352914 PECOS PAC ID: 8224941265 Enrollment ID: O20031106000562 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Texas Childrens Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesus Vallejo, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Jesus Vallejo, MD 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 Ph: (254) 724-5437 |
Dr. Ezhilarasi Manickavasagam, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504 Phone: 877-800-5722 |
Dr. Madhava Reddy Beeram, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-935-4000 |
Dr. Michael C. Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |
Edwin Hernandez Caro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-724-5437 |
Dr. Holly Mead Fatter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-5092 |
Daniel Green, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 877-724-5437 |
Dr. Kendra Beth Krahenbuhl, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-5092 |