Healthcare Provider Details
I. General information
NPI: 1932031291
Provider Name (Legal Business Name): DEEPGAURAV HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4275 LEGACY DR STE 500
FRISCO TX
75034-2229
US
IV. Provider business mailing address
7401 PERENNIAL ST
FRISCO TX
75035-9421
US
V. Phone/Fax
- Phone: 214-239-0955
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GAURAV
NARANG
Title or Position: OWNER
Credential: DDS
Phone: 562-213-2033