Individual
ANGELA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8919 OVAL GLASS ST, CONROE, TX 77304-1987
(609) 456-3492
Mailing address
8919 OVAL GLASS ST, CONROE, TX 77304-1987
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
T9150
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
09/08/2022
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