Provider Demographics
NPI:1568249274
Name:CAI, HAOTIAN (DPT)
Entity Type:Individual
Prefix:
First Name:HAOTIAN
Middle Name:
Last Name:CAI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28642 MONARCH CLIFFS DR
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1987
Mailing Address - Country:US
Mailing Address - Phone:412-539-6850
Mailing Address - Fax:
Practice Address - Street 1:3651 WESLAYAN ST STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6638
Practice Address - Country:US
Practice Address - Phone:412-539-6850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1383718225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist