Individual
NAM H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 E 4TH ST STE 201, ODESSA, TX 79761-5100
(855) 505-1212
(855) 505-1212
Mailing address
605 E 4TH ST STE 201, ODESSA, TX 79761-5100
(432) 331-9900
(855) 505-1212
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
H6343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053CU
BCBS OF TX PROVIDER #
TX
05
—
131213405
—
TX
01
—
H6343
PHYSICIAN LICENSE
TX
Enumeration date
09/06/2006
Last updated
04/28/2025
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