Individual
MA THERESA ACEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
850 W CENTRAL TEXAS EXPY, HARKER HEIGHTS, TX 76548-1890
(254) 618-4975
Mailing address
8012 BASSANO DR, ROUND ROCK, TX 78665-2129
(361) 207-5121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1094712
TX
Other
Enumeration date
10/03/2022
Last updated
06/23/2025
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