Provider Demographics
NPI:1104379569
Name:CHOKSI, VIREN (OD)
Entity type:Individual
Prefix:
First Name:VIREN
Middle Name:
Last Name:CHOKSI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 MID CITIES BLVD
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2748
Mailing Address - Country:US
Mailing Address - Phone:817-656-2020
Mailing Address - Fax:817-656-5908
Practice Address - Street 1:751 MID CITIES BLVD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2748
Practice Address - Country:US
Practice Address - Phone:817-656-2020
Practice Address - Fax:817-656-5908
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9033T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist