Provider Demographics
NPI:1528952025
Name:IBRAHIM, AYMEN ASHRAF (NP)
Entity type:Individual
Prefix:
First Name:AYMEN
Middle Name:ASHRAF
Last Name:IBRAHIM
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3422 FIREWHEEL PKWY APT 1319
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-4053
Mailing Address - Country:US
Mailing Address - Phone:945-227-9400
Mailing Address - Fax:
Practice Address - Street 1:2109 SUMMER LEE DR
Practice Address - Street 2:UNIT 103, SUITE 304
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032
Practice Address - Country:US
Practice Address - Phone:945-227-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1203392363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty