Organization
BRAINFLO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAESUE FLORENCE KIM M.D. (PHYSICIAN/OWNER)
(281) 466-1891
Entity
Organization
Contact information
Practice address
2180 NORTH LOOP W, STE 320, HOUSTON, TX 77018-8014
(832) 384-1560
(832) 384-1585
Mailing address
PO BOX 004814, SAINT LOUIS, MO 63150-0001
(281) 466-1891
(281) 296-9044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L5412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L5412
LICENSE /PERMIT #
TX
Enumeration date
04/13/2009
Last updated
04/13/2009
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