Individual
FENG GAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4925 HIGHWAY 6 STE A, MISSOURI CITY, TX 77459-4197
(713) 773-9621
(713) 773-9625
Mailing address
4925 HIGHWAY 6 STE A, MISSOURI CITY, TX 77459-4197
(713) 773-9621
(713) 773-9625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770610057
2-ORGANIZATION
TX
Enumeration date
04/24/2015
Last updated
03/05/2024
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