Healthcare Provider Details

I. General information

NPI: 1295938462
Provider Name (Legal Business Name): TUOC DAO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 04/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 WORTH STREET
DALLAS TX
75246-2006
US

IV. Provider business mailing address

PO BOX 911230
DALLAS TX
75391-1230
US

V. Phone/Fax

Practice location:
  • Phone: 214-826-9797
  • Fax:
Mailing address:
  • Phone: 972-997-8000
  • Fax: 972-234-0813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberN1298
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: