Provider Demographics
NPI:1649157819
Name:HALE, ASHTON FAITH
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:FAITH
Last Name:HALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4508 FLAMELEAF SUMAC DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5599
Mailing Address - Country:US
Mailing Address - Phone:512-751-2335
Mailing Address - Fax:
Practice Address - Street 1:4508 FLAMELEAF SUMAC DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-5599
Practice Address - Country:US
Practice Address - Phone:512-751-2335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant