NPIMap

Organization Active NPI

Cuong S. Cao LLC

Doing business as Medical Rehab Center

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1437307139
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F007607 Issued in TX
Legal business name
CUONG S. CAO LLC
Doing business as
Medical Rehab Center
Practice address
9780 Walnut St
Suite 200
Dallas, TX 75243-2389
Phone
(972) 792-7031
Fax
(972) 792-7037
NPI assigned
Sep 5, 2008
Organization subpart
Yes
Parent organization
CUONG S.CAO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Cuong S Cao
Title
Owner
Phone
(972) 792-7031

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X F007607 TX
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X F007607 TX Primary

Addresses

Primary practice location

9780 Walnut St
Suite 200
Dallas, TX 75243-2389

Mailing address

9780 Walnut St
Suite 200
Dallas, TX 75243-2389
Phone (972) 792-7031

Other names 1

  • Medical Rehab Center Doing business as

National Provider Directory

National Provider Directory
Part of
Cuong S Cao LLC

Locations

9780 Walnut St
Ste 200
Dallas, TX 75243
Phone (972) 792-7031

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1437307139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 WALNUT ST",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432389",
            "telephone_number": "972-792-7031",
            "fax_number": "972-792-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 WALNUT ST",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432389",
            "telephone_number": "972-792-7031",
            "fax_number": "972-792-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUONG S. CAO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUONG S.CAO LLC",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "CUONG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-792-7031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F007607",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F007607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.