Provider Demographics
NPI:1104840685
Name:HT HEALTH CONCEPTS, INC.
Entity Type:Organization
Organization Name:HT HEALTH CONCEPTS, INC.
Other - Org Name:THORPE LANE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARRIS-TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:512-212-7404
Mailing Address - Street 1:1346 THORPE LN STE D
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7117
Mailing Address - Country:US
Mailing Address - Phone:512-212-7404
Mailing Address - Fax:512-396-5227
Practice Address - Street 1:1346 THORPE LN STE D
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7117
Practice Address - Country:US
Practice Address - Phone:512-212-7404
Practice Address - Fax:512-396-5227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145561Medicaid