Individual
DR. ROBERT W. FAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4141 VISTA RD, PASADENA, TX 77504-2113
(713) 947-3100
(713) 947-6103
Mailing address
6400 FANNIN ST STE 2800, HOUSTON, TX 77030-1534
(713) 704-7100
(713) 704-1796
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E6345
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
E6345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
MISCHER MDCR GRP PTAN HARRIS CO
TX
01
—
0035TD
MISCHER BCBSTX GRP PROV REC
TX
01
—
00X185
MISCHER MDCR PTAN BRAZORIA CO
TX
01
—
153449704
MISCHER MDCD GRP TPI HARRIS CO
TX
01
—
302679101
MISCHER MDCD GRP TPI BRAZORIA CO
TX
Enumeration date
05/30/2006
Last updated
07/17/2013
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