Healthcare Provider Details

I. General information

NPI: 1912980962
Provider Name (Legal Business Name): FRANCISCO A. ACEBO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 S STAPLES ST STE 300
CORPUS CHRISTI TX
78404-3113
US

IV. Provider business mailing address

1521 S STAPLES ST STE 300
CORPUS CHRISTI TX
78404-3113
US

V. Phone/Fax

Practice location:
  • Phone: 361-888-5467
  • Fax: 361-888-6666
Mailing address:
  • Phone: 361-888-5467
  • Fax: 361-888-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberH-6001
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: