Individual
CHRISTINA DIANE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-2571
(214) 645-8590
Mailing address
7777 FOREST LN, 12S, DALLAS, TX 75230-2571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11058
TX
Other
Enumeration date
03/28/2017
Last updated
03/15/2018
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