Healthcare Provider Details

I. General information

NPI: 1104384049
Provider Name (Legal Business Name): DENNY DAO RDN, LD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2019
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2812 LOCKETT ST
HOUSTON TX
77021-2026
US

IV. Provider business mailing address

13747 BRANFORD GREENS DR
HOUSTON TX
77083-7310
US

V. Phone/Fax

Practice location:
  • Phone: 832-859-4874
  • Fax: 877-940-3127
Mailing address:
  • Phone: 832-859-4874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT84526
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: