Individual
JAMES BRIAN HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, DNAP
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 288-8473
Mailing address
9040 FITZSIMMONS DRIVE, TACOMA, WA 98431-1100
(253) 967-7408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN521960L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
NATL CERT # 077959
PA
Other
Enumeration date
12/31/2007
Last updated
03/11/2021
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