Healthcare Provider Details

I. General information

NPI: 1649900366
Provider Name (Legal Business Name): VY T CAO NGUYEN M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRAM VY CAO-NGUYEN

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 EMPIRE CENTRAL DR
DALLAS TX
75247-4020
US

IV. Provider business mailing address

2400 MOORPARK AVE STE 300
SAN JOSE CA
95128-2680
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-8500
  • Fax: 214-648-3775
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number40342
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: