Provider Demographics
NPI:1629089685
Name:HOCHHEIMER, SVEN MARKUS (MD)
Entity Type:Individual
Prefix:
First Name:SVEN
Middle Name:MARKUS
Last Name:HOCHHEIMER
Suffix:
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 1:3808 KEMP BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-2170
Mailing Address - Country:US
Mailing Address - Phone:940-234-3000
Mailing Address - Fax:940-234-3005
Practice Address - Street 1:3808 KEMP BLVD STE A
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2170
Practice Address - Country:US
Practice Address - Phone:940-234-3000
Practice Address - Fax:940-934-3005
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49504-020207P00000X
OH35120598207T00000X
CODR.0060235207T00000X
TXP4962207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX314318202Medicaid
TX86D702OtherBCBS
TX262362YKRYMedicare PIN