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1578558987

NPI Code Detail

MEDICARE: DAVID ALPHONSO HECTOR MD

MEDICARE: DAVID ALPHONSO HECTOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	G1914	TX
2	207RI0011X	Interventional Cardiology Physician	G1914	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4619664	OTHER	TX	AETNA
3	89424J	OTHER	TX	BCBS OF TEXAS
4	139586605	OTHER	TX	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1578558987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALPHONSO HECTOR MD

Provider Business Mailing Address
First Line	:	619 S FLEISHEL AVE
Second Line	:	SUITE 101
City	:	TYLER
State	:	TX
Zip	:	75701-2004
Country	:	US
Telephone Number	:	903-595-5514
Fax Number	:

Provider Business Practice Location Address
First Line	:	619 S FLEISHEL AVE
Second Line	:	SUITE 101
City	:	TYLER
State	:	TX
Zip	:	75701-2004
Country	:	US
Telephone Number	:	903-595-5514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	04/26/2017

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Directions to “ DAVID ALPHONSO HECTOR MD” Practice Location

Language	Start Address	Practice Location

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