Individual
ELECIA EUNJU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. (MAY 2012)
Contact information
Practice address
3417 GASTON AVE, SUITE 1000, DALLAS, TX 75246-2016
(469) 800-9000
(469) 800-9010
Mailing address
3417 GASTON AVE, SUITE 1000, DALLAS, TX 75246-2016
(469) 800-9000
(469) 800-9010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q3533
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
01/04/2023
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