Provider Demographics
NPI:1447343389
Name:HOKE, WILLIAM EUGENE
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EUGENE
Last Name:HOKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 59TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-3318
Mailing Address - Country:US
Mailing Address - Phone:806-799-0675
Mailing Address - Fax:
Practice Address - Street 1:5502 58TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-2000
Practice Address - Country:US
Practice Address - Phone:806-799-3011
Practice Address - Fax:806-799-1491
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23547103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032080601Medicaid
TX00B42AMedicare ID - Type Unspecified
TX00B42AMedicare UPIN