Healthcare Provider Details

I. General information

NPI: 1164887493
Provider Name (Legal Business Name): HDK ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2015
Last Update Date: 05/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S 2ND ST SUITE B
MCALLEN TX
78501-2702
US

IV. Provider business mailing address

300 S 2ND ST SUITE B
MCALLEN TX
78501-2702
US

V. Phone/Fax

Practice location:
  • Phone: 956-627-3259
  • Fax: 956-627-3117
Mailing address:
  • Phone: 956-627-3259
  • Fax: 956-627-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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