Provider Demographics
NPI:1487075941
Name:CAO, YUMING
Entity type:Individual
Prefix:
First Name:YUMING
Middle Name:
Last Name:CAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 N SWENSON ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:TX
Mailing Address - Zip Code:79553-2908
Mailing Address - Country:US
Mailing Address - Phone:325-773-2779
Mailing Address - Fax:325-773-3166
Practice Address - Street 1:1608 N SWENSON ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:TX
Practice Address - Zip Code:79553-2908
Practice Address - Country:US
Practice Address - Phone:325-773-2779
Practice Address - Fax:325-773-3166
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist