Individual
DR. PETER TAE WAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 WORTH ST STE 950, DALLAS, TX 75246-2064
(214) 820-2050
Mailing address
3410 WORTH ST STE 950, DALLAS, TX 75246-2064
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
N1367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304424001
—
TX
Enumeration date
07/31/2008
Last updated
11/20/2012
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