Provider Demographics
NPI:1538924709
Name:BOB L. PANSICK, M.D., F.A.A.O., P.A.
Entity type:Organization
Organization Name:BOB L. PANSICK, M.D., F.A.A.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:D
Authorized Official - Last Name:PANSICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-320-8785
Mailing Address - Street 1:12200 PARK CENTRAL DR STE 180
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2123
Mailing Address - Country:US
Mailing Address - Phone:214-320-8785
Mailing Address - Fax:214-320-8983
Practice Address - Street 1:12200 PARK CENTRAL DR STE 180
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2123
Practice Address - Country:US
Practice Address - Phone:214-320-8785
Practice Address - Fax:214-320-8983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Multi-Specialty