Healthcare Provider Details

I. General information

NPI: 1396726725
Provider Name (Legal Business Name): THP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12914 BANDERA HWY
HELOTES TX
78023
US

IV. Provider business mailing address

12914 BANDERA HWY
HELOTES TX
78023
US

V. Phone/Fax

Practice location:
  • Phone: 210-695-3099
  • Fax: 210-695-2484
Mailing address:
  • Phone: 210-695-3099
  • Fax: 210-695-2484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number16500
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number16500
License Number StateTX

VIII. Authorized Official

Name: MR. BETO QUEZADA
Title or Position: DIRECTOR OF PHARMACY
Credential: RPH
Phone: 210-695-3099