Individual
ROSA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6560 FANNIN ST, STE 750, HOUSTON, TX 77030-2727
(713) 524-3434
(713) 524-3220
Mailing address
6560 FANNIN ST, STE 750, HOUSTON, TX 77030-2727
(713) 524-3434
(713) 524-3220
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L0333
TX
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
L0333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10026742
AMERIVANTAGE
TX
05
—
1138169
—
LA
05
—
140856901
—
TX
05
—
140856902
—
TX
01
—
21017
SELECTCARE OF TEXAS
TX
01
—
23747
OPTICARE
TX
01
—
8A3190
BLUE SHIELD
TX
01
—
G65636
STERLING OPTION ONE
TX
Enumeration date
09/21/2006
Last updated
03/29/2017
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