Individual
DR. JASON LUIS ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1665 ANTILLEY RD STE 180, ABILENE, TX 79606-5249
(325) 793-5165
(325) 793-5346
Mailing address
PO BOX 5409, ABILENE, TX 79608-5409
(325) 437-8655
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
P9782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092148801
—
TX
Enumeration date
09/22/2006
Last updated
03/08/2022
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