Provider Demographics
NPI:1235147810
Name:HOCKLEY, ALFRED J III (MD)
Entity Type:Individual
Prefix:
First Name:ALFRED
Middle Name:J
Last Name:HOCKLEY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2154 GABRIELS PL STE 103
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5475
Mailing Address - Country:US
Mailing Address - Phone:833-353-2875
Mailing Address - Fax:833-518-3378
Practice Address - Street 1:2154 GABRIELS PL STE 103
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5475
Practice Address - Country:US
Practice Address - Phone:833-353-2875
Practice Address - Fax:833-518-3378
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1473207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF23133Medicare UPIN
TX81150JMedicare ID - Type Unspecified