Provider Demographics
NPI:1063725778
Name:PASS, JOSHUA ROBERT (OD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ROBERT
Last Name:PASS
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1568
Mailing Address - Street 2:
Mailing Address - City:FORT STOCKTON
Mailing Address - State:TX
Mailing Address - Zip Code:79735-1568
Mailing Address - Country:US
Mailing Address - Phone:432-336-3662
Mailing Address - Fax:432-336-7806
Practice Address - Street 1:605 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT STOCKTON
Practice Address - State:TX
Practice Address - Zip Code:79735-5625
Practice Address - Country:US
Practice Address - Phone:432-336-3662
Practice Address - Fax:432-336-7806
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7578T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist