Healthcare Provider Details

I. General information

NPI: 1134091127
Provider Name (Legal Business Name): CTRA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4112 LINKS LN STE 102
ROUND ROCK TX
78664-3902
US

IV. Provider business mailing address

4112 LINKS LN STE 102
ROUND ROCK TX
78664-3902
US

V. Phone/Fax

Practice location:
  • Phone: 512-518-4992
  • Fax: 512-518-4993
Mailing address:
  • Phone: 512-518-4992
  • Fax: 512-518-4993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: BROCK E HARPER
Title or Position: OFFICER, OWNER
Credential: MD
Phone: 512-518-4690