MEDICARE: DR. KARL F FREY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	12285	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821091398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARL F FREY DDS

Provider Business Mailing Address
First Line	:	1622 N ED CAREY DR
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8286
Country	:	US
Telephone Number	:	956-428-4258
Fax Number	:	956-428-4292

Provider Business Practice Location Address
First Line	:	1622 N ED CAREY DR
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8286
Country	:	US
Telephone Number	:	956-428-4258
Fax Number	:	956-428-4292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/14/2025

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