Individual
ITXIA L ACEVEDO-SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1150 W 25TH ST, HOUSTON, TX 77008-1830
(210) 201-1159
(432) 221-4363
Mailing address
8442 FLINT CV, SAN ANTONIO, TX 78254-4655
(214) 384-7591
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10915
TX
Other
Enumeration date
11/08/2016
Last updated
02/02/2022
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