Individual
IRMA M HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
(936) 765-5974
Mailing address
18026 ROLLING HILLS DR, MAGNOLIA, TX 77354-1719
(979) 204-8217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11111
TX
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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