Healthcare Provider Details

I. General information

NPI: 1861681140
Provider Name (Legal Business Name): RGV SURGERY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 09/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 MACO DR
HARLINGEN TX
78550-8450
US

IV. Provider business mailing address

614 MACO DR
HARLINGEN TX
78550-8450
US

V. Phone/Fax

Practice location:
  • Phone: 956-440-9110
  • Fax: 956-440-9808
Mailing address:
  • Phone: 956-440-9110
  • Fax: 956-440-9808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ASHRAF A HILMY
Title or Position: PRESIDENT
Credential: MD
Phone: 956-440-9110