Provider Demographics
NPI:1295782738
Name:FAYLE, ROBERT W (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:FAYLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6400 FANNIN ST STE 2800
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1534
Mailing Address - Country:US
Mailing Address - Phone:713-704-7100
Mailing Address - Fax:713-704-1796
Practice Address - Street 1:4141 VISTA RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2113
Practice Address - Country:US
Practice Address - Phone:713-947-3100
Practice Address - Fax:713-947-6103
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2013-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE63452084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153449704OtherMISCHER MDCD GRP TPI HARRIS CO
TX00106WOtherMISCHER MDCR GRP PTAN HARRIS CO
TX0035TDOtherMISCHER BCBSTX GRP PROV REC
TX00X185OtherMISCHER MDCR PTAN BRAZORIA CO
TX302679101OtherMISCHER MDCD GRP TPI BRAZORIA CO