Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1284 | TX |
Y | 222Z00000X | Podiatrist | 1284 | TX |
N | 213EP1101X | Primary Podiatric Medicine | 1284 | TX |
N | 2081S0010X | Sports Medicine | 1284 | TX |
N | 213ES0000X | Sports Medicine | 1284 | TX |
N | 213ES0131X | Foot Surgery | 1284 | TX |
NPI | 1609876358 |
---|---|
Provider Name | Steve W Hayes |
First Address | Sherman, TX 75090-2541 |
Second Address | Sherman, TX 75090-2541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 10/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
092730303 | (05) | TX |
U55662 | (02) | TX |