Organization
AGMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KIM MD, MPH (MANAGING MEMBER)
(512) 630-2467
Entity
Organization
Contact information
Practice address
5111B MARTIN AVE, AUSTIN, TX 78751-2118
(512) 630-2467
(888) 335-3210
Mailing address
5111B MARTIN AVE, AUSTIN, TX 78751-2118
(512) 630-2467
(888) 335-3210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0063651
MD
207R00000X
Internal Medicine Physician
MD.024557
LA
207R00000X
Internal Medicine Physician
N5158
TX
2084P0800X
Psychiatry Physician
D0063651
MD
2084P0800X
Psychiatry Physician
MD.024557
LA
2084P0800X
Psychiatry Physician
Primary
N5158
TX
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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