Provider Demographics
NPI:1902516909
Name:METRAS, JAMES RICHARD (HIS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:METRAS
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 E WETMORE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1760
Mailing Address - Country:US
Mailing Address - Phone:520-888-0959
Mailing Address - Fax:520-888-0032
Practice Address - Street 1:625 E WETMORE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1760
Practice Address - Country:US
Practice Address - Phone:520-888-0959
Practice Address - Fax:520-888-0032
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHADE13386237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist