| Mr Victor Asaldo Gutierrez, MD | |
|
715 Houston St, Plainview, TX 79072-7905 | |
| (806) 296-5327 | |
| (806) 296-5133 |
| Full Name | Mr Victor Asaldo Gutierrez |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 715 Houston St, Plainview, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114001161 | NPI | - | NPPES |
| 260009273 | Other | TX | RAILROAD MEDICARE |
| 123107801 | Medicaid | TX | |
| G1291 | Other | TX | LIC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G1291 (Texas) | Primary |
| Entity Name | Central Texas Mental Health And Mental Retardation Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619196169 PECOS PAC ID: 5193613446 Enrollment ID: O20040311001487 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Victor Asaldo Gutierrez, MD Po Box 1809, 715 Houston, Plainview, TX 79073-1809 Ph: (806) 296-5327 | Mr Victor Asaldo Gutierrez, MD 715 Houston St, Plainview, TX 79072-7905 Ph: (806) 296-5327 |
Dr. Bhupala Raju Kallepalli, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 715 Houston St, Plainview, TX 79072 Phone: 806-291-4470 Fax: 806-293-7170 | |
John Simonds, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2700 Yonkers St, Plainview, TX 79072 Phone: 806-293-2636 Fax: 806-296-5804 |