Provider Demographics
NPI:1568122729
Name:NAWAZ, ATIF (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ATIF
Middle Name:
Last Name:NAWAZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3514 SPRUCE NEEDLE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3124
Mailing Address - Country:US
Mailing Address - Phone:281-639-4639
Mailing Address - Fax:
Practice Address - Street 1:6675 W BELLFORT AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-2058
Practice Address - Country:US
Practice Address - Phone:713-728-1202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68059183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist