Provider Demographics
NPI:1548201593
Name:STEVE W HAYES DPM PA
Entity Type:Organization
Organization Name:STEVE W HAYES DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:903-892-3889
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1284213E00000X, 213EP0504X, 213ER0200X, 213ES0000X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic MedicineGroup - Single Specialty
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiologyGroup - Single Specialty
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports MedicineGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDE4707OtherRR MC GROUP
TX0070NROtherBCBS GROUP
TX566504001OtherMEDICARE DME
TX183382401Medicaid
TXU55662Medicare UPIN