Provider Demographics
NPI:1073496956
Name:HAGHIGHAT MONFARED, MOHSEN
Entity type:Individual
Prefix:
First Name:MOHSEN
Middle Name:
Last Name:HAGHIGHAT MONFARED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3022 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:NEEDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77461-8443
Mailing Address - Country:US
Mailing Address - Phone:713-742-8600
Mailing Address - Fax:
Practice Address - Street 1:3022 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:NEEDVILLE
Practice Address - State:TX
Practice Address - Zip Code:77461-8443
Practice Address - Country:US
Practice Address - Phone:713-742-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist