| Mariela D Vasquez, MD | |
|
1201 W Frank, Memorial Medical Center, Lufkin, TX 75904 | |
| (936) 639-7557 | |
| Not Available |
| Full Name | Mariela D Vasquez |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 37 Years |
| Location | 1201 W Frank, Lufkin, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124128590 | NPI | - | NPPES |
| 8661B0 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | J6787 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Chi St Lukes Health Memorial Livingston | Livingston, TX | Hospital |
| Woodland Heights Medical Center | Lufkin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf Coast Pathology Program Pllc | 3476956194 | 36 |
| Pineywoods Pathology Pa | 5991787160 | 2 |
| Entity Name | Pineywoods Pathology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588764955 PECOS PAC ID: 5991787160 Enrollment ID: O20040602000581 |
| Entity Name | Gulf Coast Pathology Program Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629643069 PECOS PAC ID: 3476956194 Enrollment ID: O20210719002395 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariela D Vasquez, MD Po Drawer 1906, 821 W Frank, Lufkin, TX 75902-1906 Ph: (936) 639-5474 | Mariela D Vasquez, MD 1201 W Frank, Memorial Medical Center, Lufkin, TX 75904 Ph: (936) 639-7557 |
Teresa Marie Todd, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 505 South John Redditt Drive, Department Of Pathology, Lufkin, TX 75904 Phone: 936-634-8311 Fax: 936-637-8545 | |
James R Bruce, MD Pathology Medicare: Medicare Enrolled Practice Location: 505 S John Redditt Dr, Department Of Pathology, Lufkin, TX 75904 Phone: 936-634-8311 Fax: 936-637-8545 | |
David L Todd, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank, Memorial Medical Center, Lufkin, TX 75904 Phone: 936-639-7886 |