Provider Demographics
NPI:1508209628
Name:MARCANTEL, ASHLEY ARNOLD (MD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ARNOLD
Last Name:MARCANTEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NICOLE
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2060 SPACE PARK DR STE 410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3676
Mailing Address - Country:US
Mailing Address - Phone:832-783-2330
Mailing Address - Fax:
Practice Address - Street 1:2060 SPACE PARK DR STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3676
Practice Address - Country:US
Practice Address - Phone:832-783-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-08
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2403207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology