Individual provider · NPI-1
Joanne Allieza Ganal Acevedo, MD
Pediatrics, Pediatric Allergy/Immunology · League City, TX
NPI number1427679547
StatusActive
Last updated in NPPESApr 4, 2025
Details
- NPI
- 1427679547
- Entity type
- Individual (NPI-1)
- Name
- Joanne Allieza Ganal Acevedo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2020
- Certification date
- Apr 4, 2025
- Last updated
- Apr 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0201X | Pediatrics, Pediatric Allergy/Immunology | U1845 | TX | Yes |
| 208000000X | Pediatrics | U1845 | TX |
Practice location
2785 Gulf Fwy SLeague City, TX 77573-4979
Phone 409-772-3695
Mailing address
Po Box 650859Dallas, TX 75265-0859
Phone 409-747-0534 · Fax 409-747-0721
Other practice locations
400 Harborside Drive Suite 103
Galveston, TX 77555-0354
Galveston, TX 77555-0354
Phone 409-772-3695 · Fax 409-772-3680
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