MEDICARE: TONY CAO PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	40722	TX

General Provider Information

NPI Number	:	1063077014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONY CAO PSYD

Provider Business Mailing Address
First Line	:	18700 KATY FWY STE 303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-0012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18700 KATY FWY STE 303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-0012
Country	:	US
Telephone Number	:	832-522-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	05/29/2026

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