Provider Demographics
NPI:1700010980
Name:ARYA, DIMPLE PATEL (OD)
Entity Type:Individual
Prefix:DR
First Name:DIMPLE
Middle Name:PATEL
Last Name:ARYA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7909 W GRAND PKWY S STE 280
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-8653
Mailing Address - Country:US
Mailing Address - Phone:832-916-2020
Mailing Address - Fax:832-916-2020
Practice Address - Street 1:7909 W GRAND PKWY S STE 280
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8653
Practice Address - Country:US
Practice Address - Phone:281-494-3435
Practice Address - Fax:281-494-3442
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7342TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX331712YXT4Medicare PIN