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NPI Code Detail

MEDICARE: DR. ROBERT W. FAYLE M.D.

MEDICARE: DR. ROBERT W. FAYLE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianE6345TX
22084S0012XSleep Medicine (Psychiatry & Neurology) PhysicianE6345TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1153449704OTHERTXMISCHER MDCD GRP TPI HARRIS CO
200106WOTHERTXMISCHER MDCR GRP PTAN HARRIS CO
30035TDOTHERTXMISCHER BCBSTX GRP PROV REC
400X185OTHERTXMISCHER MDCR PTAN BRAZORIA CO
5302679101OTHERTXMISCHER MDCD GRP TPI BRAZORIA CO

General Provider Information

NPI Number : 1295782738
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT W. FAYLE M.D.
Provider Business Mailing Address
First Line : 6400 FANNIN ST STE 2800
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1534
Country : US
Telephone Number : 713-704-7100
Fax Number : 713-704-1796
Provider Business Practice Location Address
First Line : 4141 VISTA RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-2113
Country : US
Telephone Number : 713-947-3100
Fax Number : 713-947-6103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 07/17/2013

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Directions to “ DR. ROBERT W. FAYLE M.D.” Practice Location

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