Healthcare Provider Details

I. General information

NPI: 1821806811
Provider Name (Legal Business Name): DAN CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAISY CAO

II. Dates (important events)

Enumeration Date: 12/21/2024
Last Update Date: 01/12/2025
Certification Date: 01/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 RANCH ROAD 2222 STE 115
AUSTIN TX
78730-3204
US

IV. Provider business mailing address

7300 RANCH ROAD 2222 STE 115
AUSTIN TX
78730-3204
US

V. Phone/Fax

Practice location:
  • Phone: 512-593-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT138528
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: