=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649948852
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY FAYE MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2021
-----------------------------------------------------
Last Update Date | 01/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15015 CYPRESS WOOD MEDICAL DR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77014-1461
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-615-6230
-----------------------------------------------------
Fax | 866-541-3876
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11152 WESTHEIMER RD # 265
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77042-3208
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-615-6230
-----------------------------------------------------
Fax | 866-541-3876
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | V6014
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------