Provider Demographics
NPI:1811088230
Name:ZORETIC, JAMES (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:ZORETIC
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S BOWEN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-2269
Mailing Address - Country:US
Mailing Address - Phone:817-264-4501
Mailing Address - Fax:
Practice Address - Street 1:1301 S BOWEN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-2269
Practice Address - Country:US
Practice Address - Phone:817-264-4501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG64282083P0901X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27845Medicare UPIN
TXPH0025Medicare ID - Type UnspecifiedMEDICARE FOR IMMUNIZATION
TXPH0024Medicare ID - Type UnspecifiedMEDICARE FOR IMMUNIZATION