Provider Demographics
NPI:1396316949
Name:QUADIR, MANZIL (OD)
Entity type:Individual
Prefix:
First Name:MANZIL
Middle Name:
Last Name:QUADIR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6519 FM 1488 RD STE 503
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3264
Mailing Address - Country:US
Mailing Address - Phone:281-946-2020
Mailing Address - Fax:
Practice Address - Street 1:6519 FM 1488 RD STE 503
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3264
Practice Address - Country:US
Practice Address - Phone:281-946-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10349152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist