Healthcare Provider Details

I. General information

NPI: 1285926592
Provider Name (Legal Business Name): CHRISTINE TUONG QUYEN CAO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST FL 1
NEW ORLEANS LA
70115-3515
US

IV. Provider business mailing address

6221 S CLAIBORNE AVE STE 613
NEW ORLEANS LA
70125-4142
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-7732
  • Fax: 504-897-7759
Mailing address:
  • Phone: 713-408-9080
  • Fax: 504-897-8726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number300290
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number300290
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: