Individual
MS. MARTHA LISSETTE ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP136714
TX
363LP2300X
Primary Care Nurse Practitioner
AP136714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397900701
—
TX
Enumeration date
04/17/2019
Last updated
05/25/2023
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