Provider Demographics
NPI:1063458933
Name:JOHN VU ANH CAO, DO, PA
Entity Type:Organization
Organization Name:JOHN VU ANH CAO, DO, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VU ANH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-488-8926
Mailing Address - Street 1:PO BOX 250989
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-0989
Mailing Address - Country:US
Mailing Address - Phone:972-588-4541
Mailing Address - Fax:493-304-0139
Practice Address - Street 1:400 CHISHOLM PL STE 406
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6911
Practice Address - Country:US
Practice Address - Phone:972-588-4541
Practice Address - Fax:469-304-0139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00991UMedicare PIN
TX00101VMedicare PIN