Acevedo, Jason Luis
Acevedo, Jason Luis is an sole proprietor health care provider with primary practice located at 1665 Antilley Rd Ste 180 , Abilene TX 79606-5249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Acevedo, Jason Luis can be contacted via phone (325) 793-5165.Contact Information
Primary practice address
1665 Antilley Rd Ste 180
Abilene TX 79606-5249
Phone: (325) 793-5165
Fax: (325) 793-5346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | P9782 | Texas |
Profile Details
| NPI number | 1740380534 |
|---|---|
| LBN Legal business name | Acevedo, Jason Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Mar 8th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740380534 | NPPES |
| Texas | MEDICAID | 092148801 |
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