Healthcare Provider Details

I. General information

NPI: 1548201593
Provider Name (Legal Business Name): STEVE W HAYES DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 02/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2616 LOY LAKE RD SUITE B
SHERMAN TX
75090-2541
US

IV. Provider business mailing address

2616 LOY LAKE RD SUITE B
SHERMAN TX
75090-2541
US

V. Phone/Fax

Practice location:
  • Phone: 903-892-3889
  • Fax: 903-892-3749
Mailing address:
  • Phone: 903-892-3889
  • Fax: 903-892-3749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP0504X
TaxonomyPublic Medicine Podiatrist
License Number1284
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code213ER0200X
TaxonomyRadiology Podiatrist
License Number1284
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number1284
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1284
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1284
License Number StateTX
# 6
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1284
License Number StateTX

VIII. Authorized Official

Name: STEVE W HAYES
Title or Position: OWNER
Credential: DPM
Phone: 903-892-3889