Individual
DR. JAMES GREGORY VRETIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0531753
KS
207P00000X
Emergency Medicine Physician
Primary
F4638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030052702
—
TX
01
—
1184691214
BLUE SHIELD
KS
05
—
200372730C
—
KS
05
—
200607500A
—
KS
05
—
200607500B
—
KS
Enumeration date
03/07/2006
Last updated
07/31/2014
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