Individual
BRENDA HAKEMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 S BRAESWOOD BLVD, 5TH FLOOR, HOUSTON, TX 77030-4412
(832) 824-6633
Mailing address
PO BOX 841969, DALLAS, TX 75284-1969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H7611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132591205
—
TX
01
—
132591209
CSHCN
TX
Enumeration date
08/10/2005
Last updated
03/10/2008
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