Healthcare Provider Details

I. General information

NPI: 1700808110
Provider Name (Legal Business Name): STEVEN A WALTERS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 MEDICAL ARTS ST STE 17
AUSTIN TX
78705-3302
US

IV. Provider business mailing address

2911 MEDICAL ARTS ST STE 17
AUSTIN TX
78705-3302
US

V. Phone/Fax

Practice location:
  • Phone: 512-474-6666
  • Fax: 512-474-6668
Mailing address:
  • Phone: 512-474-6666
  • Fax: 512-474-6668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1810
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO3106
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: