Provider Demographics
NPI:1609876358
Name:HAYES, STEVE W (DPM)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:W
Last Name:HAYES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 LOY LAKE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2541
Mailing Address - Country:US
Mailing Address - Phone:903-892-3889
Mailing Address - Fax:903-892-3749
Practice Address - Street 1:2616 LOY LAKE RD
Practice Address - Street 2:SUITE B
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2541
Practice Address - Country:US
Practice Address - Phone:903-892-3889
Practice Address - Fax:903-892-3749
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1284213E00000X, 213EP1101X, 213ES0000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092730303Medicaid
TXU55662Medicare UPIN
TX092730303Medicaid
TX5665040001Medicare NSC