Healthcare Provider Details

I. General information

NPI: 1316155872
Provider Name (Legal Business Name): HDK ENTERPRISE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4825 B ALMEDA RD
HOUSTON TX
77004
US

IV. Provider business mailing address

7700 MAIN ST STE 200
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 832-553-1377
  • Fax: 713-661-4828
Mailing address:
  • Phone: 713-660-8888
  • Fax: 713-661-4828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number25563
License Number StateTX

VIII. Authorized Official

Name: MR. HARISH D KATHARANI
Title or Position: CEO
Credential: PRH
Phone: 713-660-8888