Provider Demographics
NPI:1073821484
Name:FRANCISCO A. ACEBO M.D. P.A.
Entity Type:Organization
Organization Name:FRANCISCO A. ACEBO M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ACEBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-888-5467
Mailing Address - Street 1:515 CLIFFORD ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2934
Mailing Address - Country:US
Mailing Address - Phone:361-888-5467
Mailing Address - Fax:361-888-6666
Practice Address - Street 1:515 CLIFFORD ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2934
Practice Address - Country:US
Practice Address - Phone:361-888-5467
Practice Address - Fax:361-888-6666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH-6001207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138101412Medicaid
TX138101412Medicaid
TXAC00249QMedicare PIN