Provider Demographics
NPI:1447365937
Name:HACKEN, JOAN B (MD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:B
Last Name:HACKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOAN
Other - Middle Name:
Other - Last Name:BITAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4426 CREEKBEND DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-5012
Mailing Address - Country:US
Mailing Address - Phone:713-728-2924
Mailing Address - Fax:
Practice Address - Street 1:2001 HOLCOMBE BLVD
Practice Address - Street 2:MED VAMC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4222
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:713-794-7761
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF85022085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology