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

Jack Joseph Hachem, MD

Individual provider Pediatrics Physician · NPI 1073074936

Jack Joseph Hachem, MD is a Pediatrics Physician in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019
Specialties on file
3
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

333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone: (210) 704-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence T6905 (TX)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence T6905 (TX)

Record details

NPI number1073074936
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 25, 2019
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

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