Individual provider · NPI-1

Dr. Edwin Acevedo Jr., MD, MHA

Surgery, Plastic and Reconstructive Surgery · Houston, TX

NPI number1609254358

StatusActive

Last updated in NPPESJul 8, 2025

Details

NPI: 1609254358
Entity type: Individual (NPI-1)
Name: Dr. Edwin Acevedo Jr.
Credential: MD, MHA
Sex: Male
Sole proprietor: No
Enumeration date: May 14, 2015
Certification date: Jul 8, 2025
Last updated: Jul 8, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2086S0122X	Surgery, Plastic and Reconstructive Surgery	v7798	TX	Yes
208600000X	Surgery	MT208318	PA
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

6410 Fannin St Ste 1400
Houston, TX 77030-5389

Phone 832-325-7181 · Fax 713-500-0716

Mailing address

6410 Fannin St Ste 1400
Houston, TX 77030-5389

Fax 713-500-0716

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