MEDICARE: ASHLEIGH HAIST

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
1	174400000X	Specialist		TX

General Provider Information

NPI Number	:	1780556712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEIGH HAIST

Provider Business Mailing Address
First Line	:	2932 PERSIMMON VALLEY TRL
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-2197
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2932 PERSIMMON VALLEY TRL
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-2197
Country	:	US
Telephone Number	:	316-650-8150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “ ASHLEIGH HAIST ” Practice Location

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