Individual
KYOO H RHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, D569, DALLAS, TX 75230-2505
(972) 566-8340
(972) 566-8338
Mailing address
PO BOX 515055, DALLAS, TX 75251-5055
(972) 566-8340
(972) 566-8338
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
L3452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100009630A
OK MEDICARE
OK
05
—
107471803
—
TX
01
—
8B4711
BCBS
—
Enumeration date
06/08/2005
Last updated
08/21/2009
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