Individual
HERMAN KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1625 SAINT LOUIS AVE., FORT WORTH, TX 76104
(817) 927-1325
(817) 927-1035
Mailing address
1625 SAINT LOUIS AVE., FORT WORTH, TX 76104
(817) 927-1325
(817) 927-1035
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23514
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026528
INSTITUTIONAL PERMIT
—
Enumeration date
06/09/2007
Last updated
12/02/2011
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