Individual
EUN GRACE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2400 N INTERSTATE 35 E RD, WAXAHACHIE, TX 75165
(972) 923-7144
Mailing address
2400 N INTERSTATE 35 E RD, WAXAHACHIE, TX 75165-4110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
V9042
TX
Other
Enumeration date
04/05/2022
Last updated
07/16/2025
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