Provider Demographics
NPI:1326442153
Name:HTC MEDICAL, PLLC
Entity Type:Organization
Organization Name:HTC MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KROPHOLLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-221-2900
Mailing Address - Street 1:5005 W ROYAL LN
Mailing Address - Street 2:STE 196
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-1996
Mailing Address - Country:US
Mailing Address - Phone:817-424-0971
Mailing Address - Fax:888-413-9362
Practice Address - Street 1:5005 W ROYAL LN
Practice Address - Street 2:STE 196
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-1996
Practice Address - Country:US
Practice Address - Phone:817-424-0971
Practice Address - Fax:888-413-9362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty