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Individual

DR. MATTHEW J. KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MK

Contact information

Practice address
11041 SHADOW CREEK PKWY, SUITE# 123, PEARLAND, TX 77584-7402
(713) 436-5550
(713) 436-7177
Mailing address
11041 SHADOW CREEK PKWY, SUITE# 123, PEARLAND, TX 77584-7402
(713) 436-5550
(713) 436-7177

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K7444
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092460701
TX
05
092460702
TX
Enumeration date
03/16/2006
Last updated
04/21/2011
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