Individual
SHAKESPEARE ACEVEDO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
4120 SOUTHWEST FWY STE 230, HOUSTON, TX 77027-7327
(281) 254-8206
Mailing address
7606 CHASECREEK DR, MISSOURI CITY, TX 77489-1874
(346) 901-4971
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
21-379
TX
363AS0400X
Surgical Physician Assistant
Primary
SA00941
TX
Other
Enumeration date
05/02/2024
Last updated
11/06/2024
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