Individual
LEONEL MANUEL ACEVEDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 E 8TH ST, DEPARTMENT OF PATHOLOGY, WESLACO, TX 78596-6640
(956) 969-5237
(956) 968-9290
Mailing address
PO BOX 8367, WESLACO, TX 78599
(956) 969-5244
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G7389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117456703
—
TX
Enumeration date
03/09/2007
Last updated
09/08/2015
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