Healthcare Provider Details

I. General information

NPI: 1649200932
Provider Name (Legal Business Name): HDK ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 MAIN ST SUITE 100
HOUSTON TX
77030-4406
US

IV. Provider business mailing address

7700 MAIN ST SUITE 100
HOUSTON TX
77030-4406
US

V. Phone/Fax

Practice location:
  • Phone: 713-660-8888
  • 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 Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. AMIT JAIN
Title or Position: CEO
Credential:
Phone: 713-660-8888