MEDICARE: KIM RAY SHRUM MD

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	207W00000X	Ophthalmology Physician	L2649	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4198390002	OTHER		DME PALMETTO
4	7114117	OTHER		AETNA
5	21210202328	OTHER		BEECHSTREET
6	5248990	OTHER		CCN FIRST HEALTH
7	8B7450	OTHER	TX	BLUE CROSS BLUE SHIELD
8	975250	OTHER		ONE HEALTH PLAN
9	4119904	OTHER		CIGNA
10	4198390001	OTHER		DME PALMETTO

General Provider Information

NPI Number	:	1902895568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM RAY SHRUM MD

Provider Business Mailing Address
First Line	:	18545 W LAKE HOUSTON PKWY
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3392
Country	:	US
Telephone Number	:	281-812-4000
Fax Number	:	281-812-3331

Provider Business Practice Location Address
First Line	:	18545 W LAKE HOUSTON PKWY
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3392
Country	:	US
Telephone Number	:	281-812-4000
Fax Number	:	281-812-3331

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	11/27/2023

Similar Medicare Providers

1427909381 — ESLY A GUAJARDO
Practice Location Address:

4719 BLUE SPRUCE HILL ST
HUMBLE, TX
77346-3590

Practice Phone: 832-808-4810
Practice Fax:

1003767856 — KRISTINE DIONNE OBRIEN
Practice Location Address:

18401 TIMBER FOREST DR
HUMBLE, TX
77346-2535

Practice Phone: 281-624-5093
Practice Fax:

1326043878 — DR. HOWARD JAMES LOMAX D.D.S.
Practice Location Address:

5514 ATASCOCITA RD STE 170
HUMBLE, TX
77346-2968

Practice Phone: 281-358-0020
Practice Fax: 281-358-0043

1831187004 — ISMAEL DIAZ JR. MD
Practice Location Address:

17903 WEST LAKE HOUSTON PARKWAY , SUITE 201
HUMBLE, TX
77346-3882

Practice Phone: 281-812-1846
Practice Fax: 281-812-2778

1851389092 — DR. MICHAEL ALAN DAVENPORT D.C.
Practice Location Address:

7114 FM 1960 RD E
HUMBLE, TX
77346-2702

Practice Phone: 281-852-2424
Practice Fax: 281-852-1071

1215927488 — TAMMY DRERUP O.P.A.C., R.T.
Practice Location Address:

7510 ECHO PINES DR
HUMBLE, TX
77346-3140

Practice Phone: 281-989-7442
Practice Fax:

Directions to “ KIM RAY SHRUM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.