# JEROMY T HACKNEY, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912414889
- **Authorized official:** DR. JEROMY T HACKNEY MD (DIRECTOR)
- **Authorized official phone:** (832) 998-4440

## Contact information

- **Practice address:** 8 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
- **Practice address phone:** (281) 724-5120
- **Practice address fax:** (281) 724-5119
- **Mailing address:** 133 N FRIENDSWOOD DR \# 326, FRIENDSWOOD, TX 77546-3746
- **Mailing address phone:** (832) 998-4440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | P9582 | TX | Yes |

## Other

- **Enumeration date:** 01/02/2018
- **Last updated:** 01/02/2018