Healthcare Provider Details

I. General information

NPI: 1760197560
Provider Name (Legal Business Name): QUYNH DAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 GULF FWY S
LEAGUE CITY TX
77573-6750
US

IV. Provider business mailing address

2208 FENNIGAN CT
LEAGUE CITY TX
77573-4948
US

V. Phone/Fax

Practice location:
  • Phone: 281-337-5210
  • Fax:
Mailing address:
  • Phone: 832-419-7023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number75959
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: