Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | J7741 | TX |
NPI | 1275544207 |
---|---|
Provider Name | Jose L Aceves |
First Address | San Antonio, TX 78207-3255 |
Second Address | San Antonio, TX 78207-3108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 21/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00U87Z | BCBSTX GRP PIN (01) | TX |
092139706 | (05) | TX |
092139707 | (05) | TX |
092139720 | (05) | TX |
10027042 | AMERIGROUP PIN (01) | TX |
124023 | SUPERIOR PIN (01) | TX |
130116100 | FIRSTCARE PIN (01) | TX |
137345810 | (05) | TX |
140442852 | (05) | TX |
1833530 | FIRSTHEALTH PIN (01) | TX |
1966795 | UHC PIN (01) | TX |
5447047 | CIGNA PIN (01) | TX |
7309076 | AETNA PIN (01) | TX |
8A9111 | BCBSTX IND PIN (01) | TX |
G20640 | (02) |