Individual
KIM O LEARNED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M7361
TX
2085R0202X
Diagnostic Radiology Physician
MD434150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102144325-0001
—
PA
05
—
391840101
—
TX
01
—
391840102
CSHCN
TX
01
—
8KA048
BCBS
TX
Enumeration date
07/11/2007
Last updated
02/07/2019
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