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1538924709 NPI number — BOB L. PANSICK, MD, FAAO, PA

NPI Number: 1538924709
Health Care Provider/Practitioner: BOB L. PANSICK, MD, FAAO, PA

Information about “1538924709” NPI (BOB L. PANSICK, MD, FAAO, PA) exists in 1538924709 in HTML format HTML  |  1538924709 in plain Text format TXT  |  1538924709 in PDF (Portable Document Format) PDF  |  1538924709 in an XML format XML  formats.

NPI Number : 1538924709 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538924709",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BOB L. PANSICK, MD, FAAO, PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12200 PARK CENTRAL DR STE 180",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75251-2123",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-320-8785",
    "MailingAddressFaxNumber": "214-320-8983",
    "FirstLinePracticeLocationAddress": "12200 PARK CENTRAL DR STE 180",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75251-2123",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-320-8785",
    "PracticeLocationAddressFaxNumber": "214-320-8983",
    "EnumerationDate": "02/16/2024",
    "LastUpdateDate": "01/25/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PANSICK",
    "AuthorizedOfficialFirstName": "ANDREW",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "PHYSICIAN/SURGEON",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "214-320-8785",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207WX0120X",
          "TaxonomyName": "Cornea and External Diseases Specialist Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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