Provider Demographics
NPI:1083924435
Name:ANNE C. AMES, DPM
Entity Type:Organization
Organization Name:ANNE C. AMES, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:AMES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:512-407-8188
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1343332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092729501Medicaid
TX6367450001Medicare NSC
TX092729501Medicaid
TX0009BGMedicare PIN