Individual
MICHAEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
(512) 218-6330
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
(254) 724-7603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A104900
CA
2085R0202X
Diagnostic Radiology Physician
Primary
P5397
TX
Other
Enumeration date
10/04/2007
Last updated
11/18/2020
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