Provider Demographics
NPI:1922483866
Name:HALFAST, ASHLEY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:HALFAST
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:HYNEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3412 HIDALGO ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6517
Mailing Address - Country:US
Mailing Address - Phone:405-550-7073
Mailing Address - Fax:
Practice Address - Street 1:3412 HIDALGO ST
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6517
Practice Address - Country:US
Practice Address - Phone:405-550-7073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-21
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical