Provider Demographics
NPI:1497209720
Name:AKHTAR, WAQAR GUL (OD)
Entity Type:Individual
Prefix:
First Name:WAQAR
Middle Name:GUL
Last Name:AKHTAR
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 1:10810 SUMMER MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-4047
Mailing Address - Country:US
Mailing Address - Phone:832-597-6788
Mailing Address - Fax:
Practice Address - Street 1:3103 FM 1960 RD W STE V
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3383
Practice Address - Country:US
Practice Address - Phone:281-443-0340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9007T152W00000X
TX9007TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist