Individual
DR. HO JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K0092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086JL
BCBS
TX
05
—
125508505
—
TX
05
—
125508506
—
TX
01
—
8R1208
BCBS
TX
Enumeration date
09/17/2006
Last updated
03/20/2017
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