Provider Demographics
NPI:1740035310
Name:PV RICHMOND, PLLC
Entity type:Organization
Organization Name:PV RICHMOND, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAJAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL DARNE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-974-2021
Mailing Address - Street 1:2219 LEGENDS WAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3010
Mailing Address - Country:US
Mailing Address - Phone:832-607-2055
Mailing Address - Fax:
Practice Address - Street 1:7101 W GRAND PKWY S STE 170
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8656
Practice Address - Country:US
Practice Address - Phone:832-607-2055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty