Individual
DIANA PAMELA GUTIERREZ ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C, LSA
Contact information
Practice address
1 SUGAR CREEK BLVD, STE 618, SUGAR LAND, TX 77478
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD, STE 618, SUGAR LAND, TX 77478-3560
(832) 655-4141
(713) 457-5188
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
SA00781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8TP631
UNIVERSAL SURGICAL ASSISTANTS
TX
01
—
8UC171
UNIVERSAL SURGICAL PARTNERS
TX
01
—
8UC173
BLUE STAR SURGICAL
TX
01
—
8UC174
US MSO
TX
01
—
8UC287
XCITE SURGICAL
TX
Enumeration date
11/26/2018
Last updated
06/08/2023
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