Individual
BENJAMIN WONWOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7675 PHOENIX DR APT 914, HOUSTON, TX 77030-4716
(210) 482-9850
Mailing address
6431 FANNIN ST STE JJL 308S, HOUSTON, TX 77030-1501
(713) 500-7616
(713) 500-7606
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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