Healthcare Provider Details

I. General information

NPI: 1053374629
Provider Name (Legal Business Name): HECTOR ACTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 01/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 HAMILTON WAY STE. 100
SAN ANGELO TX
76904-6831
US

IV. Provider business mailing address

PO BOX 8691
BELFAST ME
04915-8691
US

V. Phone/Fax

Practice location:
  • Phone: 325-245-4000
  • Fax:
Mailing address:
  • Phone: 361-579-0315
  • Fax: 361-579-0325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL5969
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: