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Individual

CAROLINE KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2222 GREENHOUSE RD, STE 1800, HOUSTON, TX 77084-7855
(713) 464-2100
(281) 392-2032
Mailing address
2222 GREENHOUSE RD, STE 1800, HOUSTON, TX 77084-7855
(713) 464-2100
(281) 392-2032

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q5456
TX
208600000X
Surgery Physician
R73633
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351674201
TX
01
8FK026
BLUE CROSS BLUE SHIELD
TX
01
8GD854
BCBS
TX
Enumeration date
04/21/2009
Last updated
11/30/2021
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