Individual
HECTOR D CECCOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1783 TROUP HWY, TYLER, TX 75701-5869
(903) 595-2283
(903) 595-1063
Mailing address
1783 TROUP HWY, TYLER, TX 75701-5869
(903) 595-2283
(903) 595-1063
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K9749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096567503
—
TX
05
—
1635235
—
LA
01
—
87791Y
BCBS OF TEXAS
TX
01
—
P00268149
PALMETTO GBA
TX
Enumeration date
10/24/2005
Last updated
09/22/2025
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