Provider Demographics
NPI:1083652101
Name:AMES, ANNE COMPEAU (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:COMPEAU
Last Name:AMES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1301 W 38TH ST
Mailing Address - Street 2:SUITE 707
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1000
Mailing Address - Country:US
Mailing Address - Phone:512-407-8188
Mailing Address - Fax:512-459-1190
Practice Address - Street 1:1301 W 38TH ST
Practice Address - Street 2:SUITE 707
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1000
Practice Address - Country:US
Practice Address - Phone:512-407-8188
Practice Address - Fax:512-459-1190
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1343213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092729501Medicaid
TXU16863Medicare UPIN
TX092729501Medicaid
TX6367450001Medicare NSC