Individual
DANIEL Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 332-2511
Mailing address
3318 CASTLE CREEK CT, LEAGUE CITY, TX 77573-1887
(281) 291-9501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K6050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045494403
—
TX
01
—
8K8330
BC/BS OF TEXAS
TX
Enumeration date
10/10/2005
Last updated
03/04/2017
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