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Individual

DR. JIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
605 HOLDERRIETH BLVD, TOMBALL, TX 77375-6445
(281) 401-7695
Mailing address
6010 ISLA VISTA CT, HOUSTON, TX 77041-6056
(832) 566-1976
(832) 467-3321

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K9825
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046407508
TX
01
8F8871
BCBS
TX
Enumeration date
07/21/2006
Last updated
09/19/2011
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