Basic Information
Provider Information
NPI: 1558533901
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAO
FirstName: CHRISTINA
MiddleName: C.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6620 MAIN ST STE 11B.02
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302348
CountryCode: US
TelephoneNumber: 7137988057
FaxNumber: 7137982791
Practice Location
Address1: 6720 BERTNER AVE STE C-355
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302604
CountryCode: US
TelephoneNumber: 8323552285
FaxNumber: 8323559006
Other Information
ProviderEnumerationDate: 03/26/2008
LastUpdateDate: 08/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XM7315TXN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RS0012XM7315TXN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RP1001XM7315TXY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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