Individual
MR. TIMOTHY CHARLES HOEKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
(580) 718-4501
(580) 718-4581
Mailing address
1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
(580) 718-4501
(580) 718-4581
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28108
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1420814
—
MI
01
—
160002638
RAILROAD MEDICARE
MI
Enumeration date
04/22/2006
Last updated
10/24/2024
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