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NPI Code Detail

MEDICARE: JAMES D DREES P.A.

MEDICARE: JAMES D DREES P.A.
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1225019615
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES D DREES P.A.
Provider Business Mailing Address
First Line : PO BOX 2177
Second Line :
City : WHITNEY
State : TX
Zip : 76692-5177
Country : US
Telephone Number : 432-685-0450
Fax Number :
Provider Business Practice Location Address
First Line : 1314 N BRAZOS ST
Second Line :
City : WHITNEY
State : TX
Zip : 76692-2010
Country : US
Telephone Number : 254-694-3621
Fax Number : 254-694-7436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 04/29/2014

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