Provider Demographics
NPI:1093991366
Name:IQBAL, ARIF (OD)
Entity Type:Individual
Prefix:DR
First Name:ARIF
Middle Name:
Last Name:IQBAL
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 1:2454 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3720
Mailing Address - Country:US
Mailing Address - Phone:281-537-2020
Mailing Address - Fax:281-537-2020
Practice Address - Street 1:2454 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3720
Practice Address - Country:US
Practice Address - Phone:281-537-2020
Practice Address - Fax:281-537-2020
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX03950TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX901620Medicaid