Healthcare Provider Details

I. General information

NPI: 1083924435
Provider Name (Legal Business Name): ANNE C. AMES, DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 12/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 38TH ST SUITE 707
AUSTIN TX
78705-1000
US

IV. Provider business mailing address

1301 W 38TH ST SUITE 707
AUSTIN TX
78705-1000
US

V. Phone/Fax

Practice location:
  • Phone: 512-407-8188
  • Fax: 512-459-1190
Mailing address:
  • Phone: 512-407-8188
  • Fax: 512-459-1190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1343
License Number StateTX

VIII. Authorized Official

Name: DR. ANNE C AMES
Title or Position: SOLE PROPRIETOR
Credential: D.P.M.
Phone: 512-407-8188