Provider Demographics
NPI:1942604491
Name:VIRDEE, GURKIRAN KAUR GULATI (OD)
Entity type:Individual
Prefix:DR
First Name:GURKIRAN
Middle Name:KAUR GULATI
Last Name:VIRDEE
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 1:901 E HARWOOD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-8102
Mailing Address - Country:US
Mailing Address - Phone:682-712-1150
Mailing Address - Fax:682-712-1151
Practice Address - Street 1:901 E HARWOOD RD STE 200
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-8102
Practice Address - Country:US
Practice Address - Phone:682-712-1150
Practice Address - Fax:682-712-1151
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002375152W00000X
TX8967T152W00000X
TX8967TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty