Provider Demographics
NPI:1295560373
Name:HOECKER, ALLIE HAYMON
Entity type:Individual
Prefix:
First Name:ALLIE
Middle Name:HAYMON
Last Name:HOECKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 E LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ANACOCO
Mailing Address - State:LA
Mailing Address - Zip Code:71403-3158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:146 E LAKE DR
Practice Address - Street 2:
Practice Address - City:ANACOCO
Practice Address - State:LA
Practice Address - Zip Code:71403-3158
Practice Address - Country:US
Practice Address - Phone:337-423-2199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant