Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David Lyon Hackethorn, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1306806914

Dr. David Lyon Hackethorn, MD is a Geriatric Medicine (Internal Medicine) Physician in College Station, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1700 University Dr E
College Station, TX 77840
Phone: (979) 691-3300
Fax: (979) 691-3527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence E4377 (TX)

Record details

NPI number1306806914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2006
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing addressPo Box 844658, Dallas, TX 75284-4658

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