Provider Demographics
NPI:1912030404
Name:HACKL, FRANK JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOSEPH
Last Name:HACKL
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 1:7901 S SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-8900
Mailing Address - Country:US
Mailing Address - Phone:918-710-4112
Mailing Address - Fax:918-710-4118
Practice Address - Street 1:7901 S SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-8900
Practice Address - Country:US
Practice Address - Phone:918-710-4112
Practice Address - Fax:918-710-4118
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25510208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200109210AMedicaid
OK383263ZLG4Medicare PIN