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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740380534 NPPES
Texas MEDICAID 092148801

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