Healthcare Provider Details

I. General information

NPI: 1376394064
Provider Name (Legal Business Name): ASHLEY CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2024
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10723 SCHROEDER OAK CT
HOUSTON TX
77070-4815
US

IV. Provider business mailing address

5814 MALCOMBORO DR
HOUSTON TX
77041-6584
US

V. Phone/Fax

Practice location:
  • Phone: 281-894-2880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15957
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: