Provider Demographics
NPI:1568056489
Name:CAO, PRINCESS HONG (PHARMD)
Entity Type:Individual
Prefix:
First Name:PRINCESS
Middle Name:HONG
Last Name:CAO
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 1:5809 ORAM ST APT 1
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-8845
Mailing Address - Country:US
Mailing Address - Phone:682-583-9695
Mailing Address - Fax:
Practice Address - Street 1:3410 WORTH ST STE 350
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2011
Practice Address - Country:US
Practice Address - Phone:214-370-1619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist