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NPI Code Detail

MEDICARE: NAM H KIM

MEDICARE: NAM H KIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0011XInterventional Cardiology PhysicianH6343TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10053CUOTHERTXBCBS OF TX PROVIDER #
2H6343OTHERTXPHYSICIAN LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154424364
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAM H KIM
Provider Business Mailing Address
First Line : 605 E 4TH ST STE 201
Second Line :
City : ODESSA
State : TX
Zip : 79761-5100
Country : US
Telephone Number : 432-331-9900
Fax Number : 855-505-1212
Provider Business Practice Location Address
First Line : 605 E 4TH ST STE 201
Second Line :
City : ODESSA
State : TX
Zip : 79761-5100
Country : US
Telephone Number : 855-505-1212
Fax Number : 855-505-1212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 04/28/2025

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Directions to “ NAM H KIM ” Practice Location

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