Provider Demographics
NPI:1699092304
Name:GAO, BILLY SHU (MD)
Entity type:Individual
Prefix:
First Name:BILLY
Middle Name:SHU
Last Name:GAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10905 MEMORIAL HERMANN DR STE 111
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3490
Mailing Address - Country:US
Mailing Address - Phone:281-929-4727
Mailing Address - Fax:
Practice Address - Street 1:10905 MEMORIAL HERMANN DR STE 111
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3490
Practice Address - Country:US
Practice Address - Phone:281-929-4727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXU74232084N0400X
CA10441342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA130874OtherSTATE MEDICAL LICENSE