Individual provider · Type 1 NPI
Olivia Hockenjos, PA
Medical Physician Assistant · Haughton, LA
NPI number
1174120307
Active
Practice location
170 Healthcare Plaza Dr
Haughton, LA 71037-1700
Fax (318) 706-0023
Other practice locations
- 1541 Kings Hwy, Shreveport, LA 71103-4228 · (318) 626-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 324557 (LA) |
| Medical Physician Assistant Primary | 363AM0700X | 324557 (LA) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Haughton
About NPI 1174120307
Olivia Hockenjos, PA's National Provider Identifier is 1174120307, issued on Oct 1, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Haughton, LA. The record was last updated on Mar 22, 2024.