Individual
MISS ALEXANDRIA OCTAVIA ACEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 N BLACKWELDER AVE, OKLAHOMA CITY, OK 73106-1402
(405) 208-5000
Mailing address
9009 HUNTING GREEN CT, FORT WORTH, TX 76134-5503
(817) 627-4686
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
—
OK
363AS0400X
Surgical Physician Assistant
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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