Organization
JEROMY T HACKNEY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROMY T HACKNEY MD (DIRECTOR)
(832) 998-4440
Entity
Organization
Contact information
Practice address
8 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 724-5120
(281) 724-5119
Mailing address
133 N FRIENDSWOOD DR # 326, FRIENDSWOOD, TX 77546-3746
(832) 998-4440
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P9582
TX
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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