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Individual

DUNG T CAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
102 W HENDERSON ST, OVERTON, TX 75684-1613
(903) 834-0201
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 834-0201

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07259
TX
363A00000X
Physician Assistant

Other

Enumeration date
04/29/2011
Last updated
02/01/2013
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