Healthcare Provider Details

I. General information

NPI: 1013554427
Provider Name (Legal Business Name): DANIEL DAO FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5763 FAIRMONT PKWY
PASADENA TX
77505-3905
US

IV. Provider business mailing address

5763 FAIRMONT PKWY
PASADENA TX
77505-3905
US

V. Phone/Fax

Practice location:
  • Phone: 346-320-1800
  • Fax:
Mailing address:
  • Phone: 346-320-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP142995
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: