Healthcare Provider Details

I. General information

NPI: 1396041802
Provider Name (Legal Business Name): HDK ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2011
Last Update Date: 04/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 W GRAND PARKWAY NORTH SUITE 111
KATY TX
77493-2711
US

IV. Provider business mailing address

7700 MAIN STREET SUITE 200
HOUSTON TX
77030-4457
US

V. Phone/Fax

Practice location:
  • Phone: 832-553-1315
  • Fax: 832-553-1316
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 Number27315
License Number StateTX

VIII. Authorized Official

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