Provider Demographics
NPI:1821091398
Name:FREY, KARL F (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:F
Last Name:FREY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 N ED CAREY DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8286
Mailing Address - Country:US
Mailing Address - Phone:956-428-4258
Mailing Address - Fax:956-428-4292
Practice Address - Street 1:1622 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8286
Practice Address - Country:US
Practice Address - Phone:956-428-4258
Practice Address - Fax:956-428-4292
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122851223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130590609Medicaid
TX130590611Medicaid
TX130590608Medicaid
TX130590610Medicaid
TX130590610Medicaid
TXT13333Medicare UPIN