Provider Demographics
NPI:1942713961
Name:MONASAK HEALTHCARE PLLC
Entity Type:Organization
Organization Name:MONASAK HEALTHCARE PLLC
Other - Org Name:PEBBLE HEIGHTS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:SHERAZ
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-539-1852
Mailing Address - Street 1:4502 RIVERSTONE BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5213
Mailing Address - Country:US
Mailing Address - Phone:832-539-1852
Mailing Address - Fax:832-539-1278
Practice Address - Street 1:4502 RIVERSTONE BLVD STE 203
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5213
Practice Address - Country:US
Practice Address - Phone:832-539-1852
Practice Address - Fax:832-539-1278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy