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NPI Code Detail

MEDICARE: AUDREY CAMILLE CAO

MEDICARE:   AUDREY CAMILLE CAO
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
1363A00000XPhysician AssistantPA16620TX

General Provider Information

NPI Number : 1649970880
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY CAMILLE CAO
Provider Business Mailing Address
First Line : 1818 ELITE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77003
Country : US
Telephone Number : 214-733-4665
Fax Number :
Provider Business Practice Location Address
First Line : 22545 TX 249
Second Line : SUITE 130
City : HOUSTON
State : TX
Zip : 77070
Country : US
Telephone Number : 281-779-4220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2023
Last Update Date : 02/10/2026

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Directions to “ AUDREY CAMILLE CAO ” Practice Location

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