Individual
TIMOTHY WAYNE HOCKENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4930 ABERFELDY RD, RENO, NV 89519-0986
(775) 426-9115
(775) 453-2188
Mailing address
4930 ABERFELDY RD, RENO, NV 89519-0986
(775) 426-9115
(775) 453-2188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12441
MT
207Q00000X
Family Medicine Physician
130997
CA
207Q00000X
Family Medicine Physician
164791
OR
207Q00000X
Family Medicine Physician
32396
MN
207Q00000X
Family Medicine Physician
60396764
WA
207Q00000X
Family Medicine Physician
Primary
6060
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002001002
—
NV
05
—
1558320515
—
CA
05
—
1558320515
—
MT
05
—
2045019
—
WA
05
—
500665654
—
OR
Enumeration date
03/20/2006
Last updated
05/15/2025
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