Provider Demographics
NPI:1033494695
Name:MAO, DAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:
Last Name:MAO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 PINDER LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6670
Mailing Address - Country:US
Mailing Address - Phone:832-518-9856
Mailing Address - Fax:
Practice Address - Street 1:8901 FM 1960 BYPASS RD W STE 102
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4019
Practice Address - Country:US
Practice Address - Phone:281-446-0061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist