Active NPI
Mary Doan Le Reynera, PA-C
- Medical Physician Assistant
- Elgin, TX
National Provider Identifier
1184555005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 18420 Weatherby LN
Elgin, TX 78621-6099 - Phone
- (512) 815-0536
- NPI assigned
- May 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | TX | ||
| Medical Physician Assistant | 363AM0700X | TX | Primary | |
| Physician Assistant | 363A00000X | TX |
Addresses
Primary practice location
18420 Weatherby LN
Elgin, TX 78621-6099
Mailing address
18420 Weatherby LN
Elgin, TX 78621-6099
Phone (512) 815-0536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1184555005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18420 WEATHERBY LN",
"city": "ELGIN",
"state": "TX",
"postal_code": "786216099",
"telephone_number": "512-815-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18420 WEATHERBY LN",
"city": "ELGIN",
"state": "TX",
"postal_code": "786216099",
"telephone_number": "512-815-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNERA",
"first_name": "MARY",
"middle_name": "DOAN LE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.