Jack Joseph Hachem, MD is a
Student In An Organized Health Care Education/training Program physician based in San Antonio, Texas. Jack Joseph Hachem is licensed to practice in * (Not Available) (license number ) and his current practice location is 333 N Santa Rosa St, San Antonio, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 704-2011.
NPI number for Jack Joseph Hachem is 1073074936 and his current mailing address is 105 Calvi Ct, Bellaire, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073074936.
Physician's Profile
| Full Name | Jack Joseph Hachem |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 333 N Santa Rosa St, San Antonio, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073074936
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Jack Joseph Hachem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073074936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | T6905 (Texas) | Secondary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | T6905 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Joseph Hachem is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jack Joseph Hachem, MD
105 Calvi Ct,
Bellaire, TX 77401-5108
Ph: (281) 753-8560 | Jack Joseph Hachem, MD
333 N Santa Rosa St,
San Antonio, TX 78207-3108
Ph: (210) 704-2011 |
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