Healthcare Provider Details

I. General information

NPI: 1811407091
Provider Name (Legal Business Name): CHRISTINE CAO MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 03/24/2018
Certification Date:
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: 504-897-7759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number StateLA

VIII. Authorized Official

Name: DR. CHRISTINE CAO
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 713-408-9080