MEDICARE: DR. PETER CARL REE 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	2085R0001X	Radiation Oncology Physician	F2418	TX
2	2085R0001X	Radiation Oncology Physician	G29884	CA

General Provider Information

NPI Number	:	1871663401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER CARL REE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	323-727-7574

Provider Business Practice Location Address
First Line	:	2121 PEASE ST STE 101
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8321
Country	:	US
Telephone Number	:	956-425-8845
Fax Number	:	956-364-6734

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	06/13/2024

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