Provider Demographics
NPI:1225019615
Name:DREES, JAMES D (PA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:DREES
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2177
Mailing Address - Street 2:
Mailing Address - City:WHITNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76692-5177
Mailing Address - Country:US
Mailing Address - Phone:432-685-0450
Mailing Address - Fax:
Practice Address - Street 1:1314 N BRAZOS ST
Practice Address - Street 2:
Practice Address - City:WHITNEY
Practice Address - State:TX
Practice Address - Zip Code:76692-2010
Practice Address - Country:US
Practice Address - Phone:254-694-3621
Practice Address - Fax:254-694-7436
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S63808Medicare UPIN