| Doctor Name: | TASHA FAUBION |
| NPI Number: | 1215393954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AP129514 |
| Business Practice Address: | 810 W Highway 71 Marble Falls, TX - 786548602 |
| Business Phone Number: | 8302018000 |
| Business Fax Number: | |
| Mailing Address: | 830 N Oak Vista Dr, BURNET |
| State: | TX |
| Postal Code: | 786113586 |
| Phone Number: | 5126630912 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2016 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP129514 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |