Provider Demographics
NPI:1902371255
Name:CAO, VI TUAN (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:VI
Middle Name:TUAN
Last Name:CAO
Suffix:
Gender:M
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610A E BONNER ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-5656
Mailing Address - Country:US
Mailing Address - Phone:832-228-8762
Mailing Address - Fax:
Practice Address - Street 1:10837 KATY FWY STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2205
Practice Address - Country:US
Practice Address - Phone:713-464-8099
Practice Address - Fax:713-465-1921
Is Sole Proprietor?:No
Enumeration Date:2018-10-12
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX944005163W00000X
TX1112656363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse