Healthcare Provider Details
I. General information
NPI: 1427947308
Provider Name (Legal Business Name): JSCAO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1724 RICHMOND AVE
HOUSTON TX
77098-3604
US
IV. Provider business mailing address
2429 BISSONNET ST
HOUSTON TX
77005-1451
US
V. Phone/Fax
- Phone: 832-818-3900
- Fax:
- Phone: 832-818-3900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JEFFREY
CAO
Title or Position: CEO, OWNER
Credential: MD MPH
Phone: 832-786-1364