Individual
DR. JOHN DAVID PASCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 SAMUELL BLVD, DALLAS, TX 75228-6827
(214) 381-7181
Mailing address
8423 SAN PEDRO PKWY, DALLAS, TX 75218-4324
(214) 320-9295
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J3870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331705011009
—
TX
01
—
8085M7
BCBSTXBILLING#
TX
01
—
J3870
LICENSE#
TX
Enumeration date
08/03/2006
Last updated
11/05/2007
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