Provider Demographics
NPI:1083786479
Name:PASSMORE, JAMES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:PASSMORE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4100 WEST 15TH STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5801
Mailing Address - Country:US
Mailing Address - Phone:972-867-7777
Mailing Address - Fax:972-519-1679
Practice Address - Street 1:4100 WEST 15TH STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5801
Practice Address - Country:US
Practice Address - Phone:972-867-7777
Practice Address - Fax:972-519-1679
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2015-03-20
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Provider Licenses
StateLicense IDTaxonomies
TXD5147207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113967704Medicaid
TX113967704Medicaid
TX8225M1Medicare PIN