Individual
ANDREA HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 S 8TH ST, NEDERLAND, TX 77627-2635
(304) 566-9262
Mailing address
713 S 8TH ST, NEDERLAND, TX 77627-2635
(304) 566-9262
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1168087
TX
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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