Healthcare Provider Details

I. General information

NPI: 1669493235
Provider Name (Legal Business Name): VU ANH CAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 06/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17480 DALLAS PKWY SUITE 125
DALLAS TX
75287-7337
US

IV. Provider business mailing address

17480 DALLAS PKWY SUITE 125
DALLAS TX
75287-7337
US

V. Phone/Fax

Practice location:
  • Phone: 972-422-5941
  • Fax: 972-881-4390
Mailing address:
  • Phone: 972-422-5941
  • Fax: 972-881-4390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberL0995
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: