Provider Demographics
NPI:1659463214
Name:ADCOX, JAMES PAUL (OD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:ADCOX
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4101 E 42ND ST
Mailing Address - Street 2:STE 106
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762
Mailing Address - Country:US
Mailing Address - Phone:432-362-2716
Mailing Address - Fax:432-366-0399
Practice Address - Street 1:4101 E 42ND ST
Practice Address - Street 2:STE 106
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762
Practice Address - Country:US
Practice Address - Phone:432-362-2716
Practice Address - Fax:432-366-0399
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02815T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3863440001Medicare NSC