MEDICARE: DONALD W. BREECH MD PA

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	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0085QU	OTHER	TX	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720263379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONALD W. BREECH MD PA

Provider Business Mailing Address
First Line	:	605 E SAN ANTONIO ST
Second Line	:	SUITE 410 E
City	:	VICTORIA
State	:	TX
Zip	:	77901-6061
Country	:	US
Telephone Number	:	361-578-2911
Fax Number	:	361-578-4733

Provider Business Practice Location Address
First Line	:	605 E SAN ANTONIO ST
Second Line	:	SUITE 410 E
City	:	VICTORIA
State	:	TX
Zip	:	77901-6061
Country	:	US
Telephone Number	:	361-578-2911
Fax Number	:	361-578-4733

Authorized Official
Title or Position	:	OFFICER/OWNER
Name	:	DONALD W BREECH
Credential	:	MD
Telephone Number	:	361-578-2911

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	12/20/2013

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