Provider Demographics
NPI:1861681140
Name:RGV SURGERY, PA
Entity Type:Organization
Organization Name:RGV SURGERY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:A
Authorized Official - Last Name:HILMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-440-9110
Mailing Address - Street 1:614 MACO DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8450
Mailing Address - Country:US
Mailing Address - Phone:956-440-9110
Mailing Address - Fax:956-440-9808
Practice Address - Street 1:614 MACO DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8450
Practice Address - Country:US
Practice Address - Phone:956-440-9110
Practice Address - Fax:956-440-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080832101Medicaid
58AHOtherBCBS OF TEXAS
TX0058AHMedicare PIN