Healthcare Provider Details

I. General information

NPI: 1518624634
Provider Name (Legal Business Name): CAO INTEGRATED PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 FOX MEADOW DR
ALVIN TX
77511-8500
US

IV. Provider business mailing address

3904 WATERWORTH WAY
PEARLAND TX
77584-5310
US

V. Phone/Fax

Practice location:
  • Phone: 346-479-1209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JESSE CAO
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 346-479-1209