Provider Demographics
NPI:1497147078
Name:NOBLE, ASHLEIGH HAYES (MS PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:HAYES
Last Name:NOBLE
Suffix:
Gender:F
Credentials:MS PA-C
Other - Prefix:MRS
Other - First Name:ASHLEIGH
Other - Middle Name:NOBLE
Other - Last Name:THEIMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS-PA-C
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:254-724-8800
Mailing Address - Fax:
Practice Address - Street 1:302 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665
Practice Address - Country:US
Practice Address - Phone:512-509-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363AM0700X, 363AS0400X
TXPA09730363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical