Healthcare Provider Details

I. General information

NPI: 1659822856
Provider Name (Legal Business Name): HUYEN HONG MONG CAO M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2016
Last Update Date: 03/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 PINEMONT DR STE 200
HOUSTON TX
77092-3131
US

IV. Provider business mailing address

6701 PINEMONT DR STE 200
HOUSTON TX
77092-3131
US

V. Phone/Fax

Practice location:
  • Phone: 405-476-3888
  • Fax:
Mailing address:
  • Phone: 832-209-7830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number108920
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: