Organization Active NPI

Cuong S. Cao LLC

Doing business as Medical Rehab Center

  • Chiropractor
  • Garland, TX
National Provider Identifier
1548419302
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CUONG S. CAO LLC
Doing business as
Medical Rehab Center
Practice address
3901 W Walnut St
Suite B
Garland, TX 75042-6220
Phone
(972) 494-0500
Fax
(972) 494-0501
NPI assigned
Sep 16, 2008
Last updated
Apr 9, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CUONG S.CAO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Cuong S Cao
Title
Owner
Phone
(972) 494-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

3901 W Walnut St
Suite B
Garland, TX 75042-6220

Mailing address

PO Box 744006
Dallas, TX 75374-4006
Phone (972) 494-0500

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

3901 W Walnut St
Ste B
Garland, TX 75042
Phone (972) 494-0500

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": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1548419302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744006",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753744006",
            "telephone_number": "972-494-0500",
            "fax_number": "972-494-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W WALNUT ST",
            "address_2": "SUITE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426220",
            "telephone_number": "972-494-0500",
            "fax_number": "972-494-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUONG S. CAO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUONG S.CAO LLC",
        "enumeration_date": "2008-09-16",
        "last_updated": "2010-04-09",
        "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": "972-494-0500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.