Provider Demographics
NPI:1689437469
Name:GEE, DARRYL JEROME
Entity Type:Individual
Prefix:
First Name:DARRYL
Middle Name:JEROME
Last Name:GEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8555 PRESTON RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5606
Mailing Address - Country:US
Mailing Address - Phone:469-237-3782
Mailing Address - Fax:214-436-5146
Practice Address - Street 1:8555 PRESTON RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5606
Practice Address - Country:US
Practice Address - Phone:469-237-3782
Practice Address - Fax:214-436-5146
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167081156FX1800X
OH167081156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician