MEDICARE: DONG CAO L.AC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC01618	TX

General Provider Information

NPI Number	:	1790150910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONG CAO L.AC

Provider Business Mailing Address
First Line	:	20811 FIGURINE CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-7070
Country	:	US
Telephone Number	:	832-866-2501
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 COBIA DR STE 1104
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7159
Country	:	US
Telephone Number	:	832-866-2501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2015
Last Update Date	:	11/29/2021

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Directions to “ DONG CAO L.AC” Practice Location

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