Individual
DR. YOUNG IL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12121 RICHMOND AV, SUITE 101, HOUSTON, TX 77082
(713) 270-7200
(281) 584-9240
Mailing address
12121 RICHMOND AV, SUITE 101, HOUSTON, TX 77082
(713) 270-7200
(281) 584-9240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E4876
TX
207RC0000X
Cardiovascular Disease Physician
Primary
E4876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0525751
AETNA
TX
05
—
09837102
—
TX
01
—
44358
AMERIGROUP
TX
01
—
74212020277082
TRICARE CHAMPUS
—
Enumeration date
10/06/2006
Last updated
01/12/2010
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