Healthcare Provider Details

I. General information

NPI: 1518273986
Provider Name (Legal Business Name): ASHRAF IBRAHIM REYAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E DOVE AVE STE 201
MCALLEN TX
78504-4681
US

IV. Provider business mailing address

PO BOX 749
PHARR TX
78577-1614
US

V. Phone/Fax

Practice location:
  • Phone: 956-362-8030
  • Fax: 956-362-8035
Mailing address:
  • Phone: 956-362-8030
  • Fax: 956-362-8035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberMD487046
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberR5193
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberNOT KNOWN
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: