Organization
YONG SIK KIM MD PLLC
Active
Other names
Green Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG S KIM M.D. (PRESIDENT)
(713) 932-0240
Entity
Organization
Contact information
Practice address
8945 LONG POINT RD, #114, HOUSTON, TX 77055-3034
(713) 932-0240
(713) 932-0252
Mailing address
8830 LONG POINT RD, SUITE 105, HOUSTON, TX 77055-3034
(713) 932-0240
(713) 932-0252
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M1834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176400301
—
TX
Enumeration date
02/25/2009
Last updated
12/05/2013
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