Itxia L Acevedo-Santiago, PA
Physician Assistant, Medical in Houston, TX. Individual provider (NPI-1).
NPI number1639611676
StatusActive
Last updated in NPPESFeb 2, 2022
Details
- NPI
- 1639611676
- Entity type
- Individual (NPI-1)
- Name
- Itxia L Acevedo-Santiago
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2016
- Certification date
- Feb 2, 2022
- Last updated
- Feb 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA10915 | TX | Yes |
Practice location
1150 W 25th StHouston, TX 77008-1830
Phone 210-201-1159 · Fax 432-221-4363
Mailing address
8442 Flint CvSan Antonio, TX 78254-4655
Phone 214-384-7591
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