Provider Demographics
NPI:1679566525
Name:SALCEDO-DOVI, HECTOR E (DO)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:E
Last Name:SALCEDO-DOVI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 S EXPRESSWAY 77
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3214
Mailing Address - Country:US
Mailing Address - Phone:956-357-6080
Mailing Address - Fax:
Practice Address - Street 1:21 WHITE HALL ROAD SUITE 204
Practice Address - Street 2:
Practice Address - City:ROCK CHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867
Practice Address - Country:US
Practice Address - Phone:956-357-6080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMO553208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173606801Medicaid
TX8D2677Medicare PIN