MEDICARE: BENJAMIN KIM M.D.

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
1	207L00000X	Anesthesiology Physician	L3719	TX
2	174400000X	Specialist	L3719	TX
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	L3719	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174527964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN KIM M.D.

Provider Business Mailing Address
First Line	:	700 HIGHLANDER BLVD STE 415
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-4346
Country	:	US
Telephone Number	:	817-516-8811
Fax Number	:

Provider Business Practice Location Address
First Line	:	4131 N CENTRAL EXPY
Second Line	:	STE 435
City	:	DALLAS
State	:	TX
Zip	:	75204-2102
Country	:	US
Telephone Number	:	214-826-6500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	02/22/2026

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Directions to “ BENJAMIN KIM M.D.” Practice Location

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