Healthcare Provider Details

I. General information

NPI: 1245853761
Provider Name (Legal Business Name): TRAN CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10970 SHADOW CREEK PKWY STE 340
PEARLAND TX
77584-0121
US

IV. Provider business mailing address

6700 WEST LOOP S STE 500
BELLAIRE TX
77401-4120
US

V. Phone/Fax

Practice location:
  • Phone: 713-340-0030
  • Fax: 713-340-0032
Mailing address:
  • Phone: 713-791-9966
  • Fax: 713-791-9927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberBP10071295
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberU4754
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberU4754
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: