| Acevedo Pediatric Clinic | |
|
2412 N Conway Ave Mission TX 78574-2347 | |
| (956) 833-5437 | |
| (956) 833-5444 |
| Full Name | Acevedo Pediatric Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2412 N Conway Ave, Mission, Texas |
| Authorized Official Name and Position | Roberto Acevedo (PRESIDENT) |
| Authorized Official Contact | 9565292202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acevedo Pediatric Clinic 2412 N Conway Ave Mission TX 78574-2347 Ph: (956) 833-5437 | Acevedo Pediatric Clinic 2412 N Conway Ave Mission TX 78574-2347 Ph: (956) 833-5437 |
| NPI Number | 1265170948 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 04/18/2024 |
| Medicare PECOS PAC ID | 5294114898 |
|---|---|
| Medicare Enrollment ID | O20220628000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265170948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Robert Acevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669873717 PECOS PAC ID: 6507189990 Enrollment ID: I20141215002161 |
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