Healthcare Provider Details

I. General information

NPI: 1487874533
Provider Name (Legal Business Name): HDK ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 01/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5962 RENWICK DR
HOUSTON TX
77081-2406
US

IV. Provider business mailing address

7700 MAIN ST SUITE 200
HOUSTON TX
77030-4456
US

V. Phone/Fax

Practice location:
  • Phone: 832-553-1388
  • Fax: 711-366-1482
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 Number25525
License Number StateTX

VIII. Authorized Official

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