Healthcare Provider Details

I. General information

NPI: 1740663434
Provider Name (Legal Business Name): CHRISTOPHER CAO D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 06/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 LONG POINT RD STE A
HOUSTON TX
77055-3015
US

IV. Provider business mailing address

6406 WINDERMERE PARK LN
SUGAR LAND TX
77479-3622
US

V. Phone/Fax

Practice location:
  • Phone: 713-584-0959
  • Fax:
Mailing address:
  • Phone: 713-584-0959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number31127
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: