Provider Demographics
NPI:1114075603
Name:HTK ENTERPRISES, LLC
Entity Type:Organization
Organization Name:HTK ENTERPRISES, LLC
Other - Org Name:INTERX THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:469-364-3420
Mailing Address - Street 1:11882 GREENVILLE AVE
Mailing Address - Street 2:SUITE B127
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-0586
Mailing Address - Country:US
Mailing Address - Phone:469-364-3420
Mailing Address - Fax:469-364-3421
Practice Address - Street 1:11882 GREENVILLE AVE
Practice Address - Street 2:SUITE B127
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-0586
Practice Address - Country:US
Practice Address - Phone:469-364-3420
Practice Address - Fax:469-364-3421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1136463225100000X
TX103604225X00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB127122Medicare PIN