Hye Tae Kim MD

NPI 1053331470 - Family Medicine - 207Q00000X

NPI Details
NPI 1053331470
Gender Male
Enumeration Date 07/20/2006
Last Updated 05/01/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1157 E 42ND ST
ODESSA TX, 79762-7723, US
Phone (432) 550-5300
Fax (432) 366-7100
Business Location
1157 E 42ND ST
ODESSA TX, 79762-7723, US
Phone (432) 550-5300
Fax (432) 366-7100
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number K1852
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According to our database, Dr. Hye Tae Kim MD NPI is 1053331470, taxonomy code is 207Q00000X and license number is K1852, license state is located at Texas. Hye Tae Kim MD physically located at 1157 E 42nd St, Odessa TX, 79762-7723. NPI Number Hye Tae Kim MD has the Individual type.

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1053331470 NPI number is provided on an as is basis without warranty of any kind. 1053331470 is maintained by the National Plan & Provider Enumeration System. The contents of Hye Tae Kim MD are for informational purposes only.