Provider Demographics
NPI:1053501247
Name:PATEL, DHVANI (OD)
Entity Type:Individual
Prefix:MS
First Name:DHVANI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20518 PINK GRANITE VLY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4155
Mailing Address - Country:US
Mailing Address - Phone:281-980-9500
Mailing Address - Fax:844-894-7972
Practice Address - Street 1:23108 SEVEN MEADOWS PKWY
Practice Address - Street 2:STE 250
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0864
Practice Address - Country:US
Practice Address - Phone:281-980-9500
Practice Address - Fax:844-894-7972
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5970TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist