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NPI Code Detail

MEDICARE: JESSE CAO D.C.

MEDICARE: JESSE CAO D.C.
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
1111N00000XChiropractor12948TX

General Provider Information

NPI Number : 1912381146
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSE CAO D.C.
Provider Business Mailing Address
First Line : PO BOX 3105
Second Line :
City : PEARLAND
State : TX
Zip : 77588-3105
Country : US
Telephone Number : 346-479-1209
Fax Number :
Provider Business Practice Location Address
First Line : 2743 SMITH RANCH RD UNIT 1301
Second Line :
City : PEARLAND
State : TX
Zip : 77584-5219
Country : US
Telephone Number : 346-479-1209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2015
Last Update Date : 02/11/2026

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