Healthcare Provider Details

I. General information

NPI: 1306772801
Provider Name (Legal Business Name): GURPARTAP SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N HIGHWAY 67 STE 150
CEDAR HILL TX
75104-2178
US

IV. Provider business mailing address

PO BOX 165
VENUS TX
76084-0165
US

V. Phone/Fax

Practice location:
  • Phone: 972-299-8967
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number11726
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: