IndividualActive
David Hackethorn, M.D.
NPI 1306806914 · Geriatric Medicine (Internal Medicine) Physician · College Station, TX
Provider details
- NPI number
- 1306806914
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- E4377 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1700 University Dr E
College Station, TX 77840
Phone: (979) 691-3300
Fax: (979) 691-3527
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 844658
Dallas, TX 75284-4658
Registry dates
- Enumerated
- 2006-03-27
- Last updated
- 2023-11-07
- Certified
- 2023-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.