MEDICARE: DOUGLAS R BREE M.D.

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	207RC0000X	Cardiovascular Disease Physician	M3929	TX
2	207RI0011X	Interventional Cardiology Physician	M3929	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M3929	OTHER	TX	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568666485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS R BREE M.D.

Provider Business Mailing Address
First Line	:	18220 STATE HIGHWAY 249 STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4349
Country	:	US
Telephone Number	:	713-441-9909
Fax Number	:

Provider Business Practice Location Address
First Line	:	18220 STATE HIGHWAY 249 STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4349
Country	:	US
Telephone Number	:	713-441-9909
Fax Number	:

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	03/17/2018

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Directions to “ DOUGLAS R BREE M.D.” Practice Location

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