Individual
HUE THUC CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05321
TX
363AS0400X
Surgical Physician Assistant
PA05321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196685501
—
TX
05
—
196685502
—
TX
05
—
196685503
—
TX
05
—
196685504
—
TX
01
—
8Y1988
BCBS
TX
01
—
8Y8678
BLUE CROSS BLUE SHIELD
TX
01
—
P00734409
RR MEDICARE
TX
01
—
P01070296
RR MEDICARE
TX
Enumeration date
04/26/2007
Last updated
05/20/2019
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