Healthcare Provider Details

I. General information

NPI: 1619808367
Provider Name (Legal Business Name): MONALIZA THARANI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 WOODLINE DR
SPRING TX
77386-1977
US

IV. Provider business mailing address

8530 PIER COVE DR
CYPRESS TX
77433-8538
US

V. Phone/Fax

Practice location:
  • Phone: 281-528-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberFNP
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: