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DR. DAVID LYON HACKETHORN M.D.
NPI 1306806914
Internal Medicine - Geriatric Medicine in College Station, TX

Active since March 27, 2006
1700 UNIVERSITY DR E, COLLEGE STATION, TX 77840(979) 691-3300(979) 691-3527 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2023, Mar 26, 2020, Jul 16, 2018 (3 updates tracked since 2018).

About Dr. David Lyon Hackethorn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID LYON HACKETHORN M.D. (NPI 1306806914) is an individual geriatric medicine provider in College Station, Texas, licensed in Texas (E4377) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1306806914
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. DAVID LYON HACKETHORNCredential: M.D.
Location Address1700 UNIVERSITY DR ECollege Station, TX 77840
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371
Phone(979) 691-3300
Fax(979) 691-3527
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateNovember 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1306806914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in TX · E4377
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1700 UNIVERSITY DR E, College Station, TX 77840
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Other Identifiers 1

Other807442TX · Blue Shield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT & WHITE CLINIC
Pediatrics
1700 UNIVERSITY DR E
COLLEGE STATION, TX 77840
Brazos County (979) 691-3300
KATIE ANN VENUTI MS, RD
Dietitian, Registered
1700 UNIVERSITY DR E
COLLEGE STATION, TX 77840
Brazos County (796) 913-5279
KELVIN D MONROE MD
Pediatrics
1700 UNIVERSITY DR E
COLLEGE STATION, TX 77840
Brazos County (979) 691-3300
DR. MARK STANLEY HIGGINS M.D.
Family Medicine
1700 UNIVERSITY DR E
COLLEGE STATION, TX 77840
Brazos County (409) 691-3300
DR. DONALD RAYMOND GEHRING D.O.
Family Medicine
1700 UNIVERSITY DR E
COLLEGE STATION, TX 77840
Brazos County (979) 691-3300
MS. KIMBERLY TRIPP
Nurse Practitioner
1700 UNIVERSITY DR E
COLLEGE STATION, TX 77840
Brazos County (979) 207-3636
DR. GLENN LEE LAWRENCE M.D.
Pediatrics
1700 UNIVERSITY DR E
COLLEGE STATION, TX 77840
Brazos County (409) 691-3300
IAN CRAIG REINEMEYER MD
Internal Medicine
1700 UNIVERSITY DR E
COLLEGE STATION, TX 77840
Brazos County (979) 691-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Hackethorn's NPI number?

The NPI number for David Hackethorn is 1306806914. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is David Hackethorn located?

David Hackethorn practices at 1700 University Dr E, College Station, TX 77840. The listed phone number is (979) 691-3300.

What is David Hackethorn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for David Hackethorn was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.