Individual
KIM DU BAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5201 HARRY HINES BLVD, AMBULATORY CARE CLINIC, DALLAS, TX 75235-7708
(214) 590-5512
(214) 590-5491
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6541T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175625602
—
TX
01
—
81657Q
BLUE CROSS BLUE SHIELD
TX
01
—
P00298349
RAILROAD MEDICARE
—
Enumeration date
11/10/2005
Last updated
09/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us