Individual
KEVIN V HACKSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(833) 882-2737
Mailing address
1601 TRINITY ST STOP Z0200, AUSTIN, TX 78712-1850
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
35060461
OH
207RR0500X
Rheumatology Physician
Primary
G5135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802902
—
OH
Enumeration date
08/01/2006
Last updated
05/06/2022
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