Individual
DR. BRIAN S. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A62989
CA
207L00000X
Anesthesiology Physician
Primary
J6003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A629890
BLUE SHIELD ID #
CA
05
—
00A629890
—
CA
01
—
00A629890385
CALOPTIMA ID #
CA
01
—
050066342
RAILROAD MEDICARE ID #
CA
Enumeration date
07/25/2006
Last updated
06/02/2022
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