Individual
DR. GLADSTON HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-5804
Mailing address
6431 FANNIN ST STE 270, HOUSTON, TX 77030-1501
(609) 216-3352
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MT199990
PA
207P00000X
Emergency Medicine Physician
Primary
Q5417
TX
Other
Enumeration date
06/28/2011
Last updated
09/11/2021
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