Individual
JOSE L ACEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4708
(210) 704-4952
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-4275
(210) 704-4520
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
J7741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
05
—
092139706
—
TX
05
—
092139707
—
TX
05
—
092139720
—
TX
01
—
10027042
AMERIGROUP PIN
TX
01
—
124023
SUPERIOR PIN
TX
01
—
130116100
FIRSTCARE PIN
TX
05
—
137345810
—
TX
05
—
140442852
—
TX
01
—
1833530
FIRSTHEALTH PIN
TX
01
—
1966795
UHC PIN
TX
01
—
5447047
CIGNA PIN
TX
01
—
7309076
AETNA PIN
TX
01
—
8A9111
BCBSTX IND PIN
TX
Enumeration date
08/11/2006
Last updated
01/19/2023
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