MEDICARE: OSWALDO ACEVEDO SANCHEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA20086	TX

General Provider Information

NPI Number	:	1013694439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSWALDO ACEVEDO SANCHEZ

Provider Business Mailing Address
First Line	:	3537 S I 35 E STE 308
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-6870
Country	:	US
Telephone Number	:	940-382-2204
Fax Number	:

Provider Business Practice Location Address
First Line	:	3537 S I 35 E STE 308
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-6870
Country	:	US
Telephone Number	:	940-382-2204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	03/17/2026

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Directions to “ OSWALDO ACEVEDO SANCHEZ ” Practice Location

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