Provider Demographics
NPI:1558307686
Name:STEUART, ANN BLAKEMORE (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:BLAKEMORE
Last Name:STEUART
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6603 BRANCHING OAK CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-3801
Mailing Address - Country:US
Mailing Address - Phone:512-470-4604
Mailing Address - Fax:
Practice Address - Street 1:6603 BRANCHING OAK CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-3801
Practice Address - Country:US
Practice Address - Phone:512-470-4604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1348213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC66351Medicare UPIN