Individual provider · NPI-1
Alexandria Octavia Aceves
Physician Assistant, Surgical · Fort Worth, TX
NPI number1013850759
StatusActive
Last updated in NPPESAug 13, 2026
Details
- NPI
- 1013850759
- Entity type
- Individual (NPI-1)
- Name
- Miss Alexandria Octavia Aceves
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2026
- Certification date
- Aug 13, 2026
- Last updated
- Aug 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA20700 | TX | Yes |
Practice location
800 5th Ave Ste 500Fort Worth, TX 76104-7304
Phone 817-250-4280 · Fax 817-250-4281
Mailing address
9009 Hunting Green CtFort Worth, TX 76134-5503
Phone 817-627-4686
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