Individual
KAREN DORENE HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
566 COUNTY ROAD 134, GAINESVILLE, TX 76240-6915
(940) 736-7525
Mailing address
566 COUNTY ROAD 134, GAINESVILLE, TX 76240-6915
(940) 736-7525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
628760
TX
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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