Provider Demographics
NPI:1518916626
Name:SAFAR, JAMES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:SAFAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2006 S GOLIAD STREET
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-4800
Mailing Address - Country:US
Mailing Address - Phone:972-722-0101
Mailing Address - Fax:972-722-0105
Practice Address - Street 1:2006 S GOLIAD STREET
Practice Address - Street 2:SUITE 230
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4800
Practice Address - Country:US
Practice Address - Phone:972-722-0101
Practice Address - Fax:972-722-0105
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2014-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8753207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030856102Medicaid
TX030856102Medicaid
TX8B8073Medicare ID - Type Unspecified