Individual
GINA E. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1229 CAMPBELL RD, HOUSTON, TX 77055-6401
(713) 467-6600
(713) 467-7914
Mailing address
2855 GRAMERCY ST, HOUSTON, TX 77025-1756
(713) 668-6828
(713) 558-8785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5253T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104405902
—
TX
Enumeration date
09/20/2005
Last updated
07/18/2011
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