Hyetae Kim, Md, Pa in Odessa - Family Medicine
Hyetae Kim, Md, Pa - NPI 1396873170
Hyetae Kim, Md, Pa is a Family Medicine in Odessa, Texas. Hyetae Kim, Md, Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Hyetae Kim, Md, Pa is 1396873170. The last update date is 2008-05-01.
Hyetae Kim, Md, Pa's current location address is 1157 E 42nd St, Odessa, Texas. You can contact this provider via phone number 4325505300 and fax number 4326876299. The mailing address for Hyetae Kim, Md, Pa is 1157 E 42nd St, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hyetae Kim, Md, Pa |
|---|---|
| Address | 1157 E 42nd St, Odessa, Texas |
| Phone Number | 4325505300 |
| Fax Number | 4326876299 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Haggerton Chad |
| Telephone Number | 4325505300 |
NPI Number Detail
| NPI Number | 1396873170 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2008-05-01 |
Provider Mailing Address Detail
| Address | 1157 E 42nd St |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797627723 |
| Phone Number | 4325505300 |
| Fax Number | 4326876299 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | K1852 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 158174601 | TX | -- | |
| 0017JK | TX | BCBS GROUP NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Hyetae Kim, Md, Pa by the Centers for Medicare & Medicaid Services?
The Hyetae Kim, Md, Pa has been assigned the NPI (National Provider Identifier) 1396873170. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Hyetae Kim, Md, Pa's physical address?
The Hyetae Kim, Md, Pa is physically located at 1157 E 42Nd St, in the city of Odessa, TX, with the postal code 797627723.
What is Hyetae Kim, Md, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hyetae Kim, Md, Pa's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did Hyetae Kim, Md, Pa receive its 1396873170 assignment from the Centers for Medicare & Medicaid Services?
The Hyetae Kim, Md, Pa was assigned its 1396873170 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Hyetae Kim, Md, Pa's details last updated?
The information pertaining to the Hyetae Kim, Md, Pa, including its address, specialty, and other details, was most recently updated on 2008-05-01.
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