Healthcare Provider Details

I. General information

NPI: 1992987283
Provider Name (Legal Business Name): WEIWEI CAO M.D., PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MEDICAL PKWY BLDG. B STE. 200
CEDAR PARK TX
78613-5013
US

IV. Provider business mailing address

6210 E HIGHWAY 290
AUSTIN TX
78723-1142
US

V. Phone/Fax

Practice location:
  • Phone: 512-260-1581
  • Fax: 512-406-7309
Mailing address:
  • Phone: 512-483-9569
  • Fax: 512-406-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA110717
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberQ0614
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: