Provider Demographics
NPI:1386802270
Name:HEMESATH, CYNTHIA KAY (DPM)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:KAY
Last Name:HEMESATH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:KAY
Other - Last Name:HEMESATH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:PO BOX 976
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-0976
Mailing Address - Country:US
Mailing Address - Phone:361-226-2120
Mailing Address - Fax:855-531-6314
Practice Address - Street 1:305 S ARCHER ST
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:TX
Practice Address - Zip Code:76365-3301
Practice Address - Country:US
Practice Address - Phone:940-538-9002
Practice Address - Fax:940-538-9003
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1882213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2048217Medicaid
TX6324000001Medicare NSC
TX2048217Medicaid