Provider Demographics
NPI:1942868161
Name:ACEBO, RITA KAY (DPM)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:KAY
Last Name:ACEBO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3692 E SAM HOUSTON PKWY S STE 100
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3136
Mailing Address - Country:US
Mailing Address - Phone:713-946-1500
Mailing Address - Fax:713-946-0200
Practice Address - Street 1:3692 E SAM HOUSTON PKWY S STE 100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3136
Practice Address - Country:US
Practice Address - Phone:713-946-1500
Practice Address - Fax:713-946-0200
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT24-2019213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist