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Contact Information

ITXIA L ACEVEDO SANTIAGO, PA
1150 W 25TH ST
HOUSTON, TX77008-1830
 Phone: 210-201-1159
 Fax: 432-221-4363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ITXIA L ACEVEDO SANTIAGO · (Female)

NPI Number 1639611676
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/08/2016
Last updated 02/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA10915
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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