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Individual

SEUNG TAEK LIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGNP-C

Contact information

Practice address
264 FARM TO MARKET 3478, HUNTSVILLE, TX 77320-3320
(936) 291-4200
Mailing address
8949 GAYLORD DRIVE, APT #242, HOUSTON, TX 77024-2921
(832) 369-2372

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP131968
TX
363LG0600X
Gerontology Nurse Practitioner
AP131968
TX

Other

Enumeration date
12/13/2016
Last updated
12/13/2016
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