Individual provider · Type 1 NPI

Eung Soo Kim, MD

Student in an Organized Health Care Education/Training Program · Irving, TX

NPI number 1013110261 Active

Practice location

8229 Ranchview Dr Apt 2044
Irving, TX 75063-4132

Call (949) 923-0130 Map

Fax (214) 818-1224

Mailing address

8229 Ranchview Drive, Apt # 2044
Irving, TX 75063

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10027416 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013110261

Eung Soo Kim, MD's National Provider Identifier is 1013110261, issued on Jun 6, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Irving, TX. The record was last updated on Jul 8, 2007.