Provider Demographics
NPI:1437026333
Name:GALLEGOS, ROBERT III
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:GALLEGOS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 VISCOUNT BLVD STE 297
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-5695
Mailing Address - Country:US
Mailing Address - Phone:915-701-3430
Mailing Address - Fax:
Practice Address - Street 1:7500 VISCOUNT BLVD STE 297
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-5695
Practice Address - Country:US
Practice Address - Phone:915-701-3430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99555101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health