Provider Demographics
NPI:1457330292
Name:HAHN, JAMES S (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:HAHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:631 W 38TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1250
Mailing Address - Country:US
Mailing Address - Phone:512-600-6189
Mailing Address - Fax:512-459-9341
Practice Address - Street 1:631 W 38TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1250
Practice Address - Country:US
Practice Address - Phone:512-600-6189
Practice Address - Fax:512-459-9341
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9971207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080117569OtherRAILROAD MEDICARE
144643100OtherFIRSTCARE
45D0970999OtherCLIA
0088AAOtherBCBS
0088AAOtherBCBS
080117569OtherRAILROAD MEDICARE