Individual
YOUNG H SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4095
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
P9959
TX
208000000X
Pediatrics Physician
P9959
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
P9959
TX
Other
Enumeration date
04/04/2011
Last updated
07/01/2024
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