Provider Demographics
NPI:1720409600
Name:TEXAS HEALTH RX, LLC
Entity Type:Organization
Organization Name:TEXAS HEALTH RX, LLC
Other - Org Name:TEXAS HEALTH RX, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHANDOKER
Authorized Official - Middle Name:RAFIQUL
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-691-0419
Mailing Address - Street 1:26107 INTERSTATE 45 N
Mailing Address - Street 2:SUITE A1
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1902
Mailing Address - Country:US
Mailing Address - Phone:281-419-8820
Mailing Address - Fax:281-419-8830
Practice Address - Street 1:8901 FM 1960 RD W
Practice Address - Street 2:SUITE 104
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4125
Practice Address - Country:US
Practice Address - Phone:281-419-8820
Practice Address - Fax:281-419-8833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10202677OtherDEPARTMENT OF PUBLIC SAFETY
TX28860OtherTEXAS STATE BOARD OF PHARMACY LICENSE
TXFT4284080OtherDRUG ENFORCEMENT ADMINSTRATION