MEDICARE: ALLIE HAYMON HOECKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1295560373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLIE HAYMON HOECKER

Provider Business Mailing Address
First Line	:	146 E LAKE DR
Second Line	:
City	:	ANACOCO
State	:	LA
Zip	:	71403-3158
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	146 E LAKE DR
Second Line	:
City	:	ANACOCO
State	:	LA
Zip	:	71403-3158
Country	:	US
Telephone Number	:	337-423-2199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2024
Last Update Date	:	04/26/2025

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Directions to “ ALLIE HAYMON HOECKER ” Practice Location

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