Provider Demographics
NPI:1457314387
Name:AKOR, CHARLOTTE M (MD)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:M
Last Name:AKOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4707 EVERHART RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2751
Mailing Address - Country:US
Mailing Address - Phone:361-857-6600
Mailing Address - Fax:361-334-0553
Practice Address - Street 1:4707 EVERHART RD STE 108
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2751
Practice Address - Country:US
Practice Address - Phone:361-857-6600
Practice Address - Fax:361-334-0553
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7200207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC313985Medicaid
TX218161201Medicaid
SCAA35223640Medicare PIN
TX218161201Medicaid
SC313985Medicaid