Bysmark A Acebo, LSA
Physician Assistant, Surgical in Katy, TX. Individual provider (NPI-1).
NPI number1780735027
StatusActive
Last updated in NPPESJan 28, 2019
Details
- NPI
- 1780735027
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bysmark A Acebo
- Credential
- LSA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2007
- Last updated
- Jan 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | SA 0008 | TX | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | SA00008 | TX |
Practice location
20023 Sky Hollow LnKaty, TX 77450-5219
Phone 832-713-9153
Mailing address
20023 Sky Hollow LnKaty, TX 77450-5219
Phone 832-713-9153
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