Hector Acton, MD
Individual provider Active NPI Pediatrics Physician · San Angelo, TX
NPI 1053374629 · NPPES record last updated Jan 24, 2011
Key facts
- NPI
- 1053374629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- L5969 (TX)
- Practice address
- 2141 Hamilton Way
Ste. 100
San Angelo, TX 76904-6831 - Phone
- (325) 245-4000
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050810000188 | TX | Practitioner - Pediatric Medicine | 0547299505 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5969 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Pediatrics | Current |
Accepting new patients |
| Regional Employee Assistance Program Inc | Pediatrics | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current |
Accepting new patients | |
| Shannon Clinic | Pediatrics | Current |
Accepting new patients |
| Shannon Medical Center | Past | Accepting new patients |
Locations
3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411
3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
2141 Hamilton Way
Ste 100
San Angelo, TX 76904
Phone (325) 947-6472
3605 Executive Dr
San Angelo, TX 76904
Phone (325) 949-9555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L5969 | TX | Yes |
Addresses
Primary practice location
2141 Hamilton Way
Ste. 100
San Angelo, TX 76904-6831
Mailing address
PO Box 8691
Belfast, ME 04915-8691
Phone (361) 579-0315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158437702 | Medicaid | TX |
Other providers in San Angelo, TX
- Stuart Lee Abramson
- Accurate Hospice and Palliative Care, Inc
- Abner Jorge Acevedo-Peon
- Jackson Todd Achilles
- Jennifer Acosta
- Jessie Adame
- Laura M Adams
- Virginia Adams
- Adc Inc
- Jerre Alison Ader
All providers in San Angelo, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.