Provider Demographics
NPI:1669893772
Name:ACOSTA, HECTOR JUAN II (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JUAN
Last Name:ACOSTA
Suffix:II
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27199 BAKER POTTS RD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-3760
Mailing Address - Country:US
Mailing Address - Phone:956-357-3051
Mailing Address - Fax:956-391-2825
Practice Address - Street 1:25673 BECKHAM RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-6356
Practice Address - Country:US
Practice Address - Phone:956-230-3301
Practice Address - Fax:956-391-2825
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1183677225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist