Provider Demographics
NPI:1265413579
Name:SOHOCKI, JOHN BERNARD II (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:BERNARD
Last Name:SOHOCKI
Suffix:II
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 1:1333 3RD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2200
Mailing Address - Country:US
Mailing Address - Phone:361-884-8878
Mailing Address - Fax:361-853-3379
Practice Address - Street 1:1333 3RD ST STE 100
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2200
Practice Address - Country:US
Practice Address - Phone:361-884-8878
Practice Address - Fax:361-853-3379
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4563207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131868502Medicaid
TX85X600Medicare ID - Type Unspecified