Provider Demographics
NPI:1316663438
Name:VIRDI, DILJOT K (DC)
Entity type:Individual
Prefix:DR
First Name:DILJOT
Middle Name:K
Last Name:VIRDI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24711 ALBERTI SONATA DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3315
Mailing Address - Country:US
Mailing Address - Phone:510-586-5345
Mailing Address - Fax:
Practice Address - Street 1:14825 SAINT MARYS LN STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2989
Practice Address - Country:US
Practice Address - Phone:346-754-5037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor