Organization
CLEVELAND DIAGNOSTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYUNG JIN KIM MD (PRESIDENT)
(281) 592-0557
Entity
Organization
Contact information
Practice address
307 EAST CROCKETT, CLEVELAND, TX 77327
(281) 592-0557
(281) 592-1761
Mailing address
307 EAST CROCKETT, CLEVELAND, TX 77327
(281) 592-0557
(281) 592-1761
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
F5978
TX
207RP1001X
Pulmonary Disease Physician
Primary
F5978
TX
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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