Organization
HDK ENTERPRISES LLC
Active
Other names
SOUTHSIDE INFUSION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIT JAIN (CEO)
(713) 660-8888
Entity
Organization
Contact information
Practice address
7700 MAIN ST, SUITE 210, HOUSTON, TX 77030-4456
(713) 660-8888
(713) 661-4828
Mailing address
7700 MAIN ST, SUITE 210, HOUSTON, TX 77030-4456
(713) 660-8888
(713) 661-4828
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
14797
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14797
TX
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143781
—
TX
01
—
4584430
NCPDP
TX
Enumeration date
09/02/2005
Last updated
12/12/2017
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