Individual
DR. BERNARD C. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3636 EXECUTIVE CENTER DR STE G70, SUITE 212, AUSTIN, TX 78731-1628
(512) 371-9555
(512) 367-5756
Mailing address
3636 EXECUTIVE CENTER DR STE G70, SUITE 212, AUSTIN, TX 78731-1628
(512) 371-9555
(512) 367-5756
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L8767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517620
VALUE OPTIONS PROVIDER ID
TX
Enumeration date
07/31/2006
Last updated
03/03/2016
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