Individual
JUNG SOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6500 NORTH FWY, SUITE 116, HOUSTON, TX 77076-2953
(713) 697-0041
(713) 697-6199
Mailing address
15 VILLAGE OAKS LN, HOUSTON, TX 77055-6535
(713) 647-7844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G1806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112067701
—
TX
05
—
112067702
—
TX
Enumeration date
11/15/2006
Last updated
07/16/2013
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