Provider Demographics
NPI:1871956268
Name:GURYAN, RUPINDER KAUR (DO)
Entity type:Individual
Prefix:
First Name:RUPINDER
Middle Name:KAUR
Last Name:GURYAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E OVILLA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3830
Mailing Address - Country:US
Mailing Address - Phone:469-800-9200
Mailing Address - Fax:469-800-9210
Practice Address - Street 1:301 E OVILLA RD STE 100
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-3830
Practice Address - Country:US
Practice Address - Phone:469-800-9200
Practice Address - Fax:469-800-9210
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6789207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine