Mary Kim is a Medical in San Antonio, Texas. Mary Kim practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary Kim is 1275720930. The last update date is 2017-04-25.
Mary Kim's current location address is 7703 Floyd Curl Dr, San Antonio, Texas. You can contact this provider via phone number 2103584000. The mailing address for Mary Kim is 7703 Floyd Curl Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kim |
|---|---|
| Address | 7703 Floyd Curl Dr, San Antonio, Texas |
| Phone Number | 2103584000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1275720930 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2017-04-25 |
Provider Mailing Address Detail
| Address | 7703 Floyd Curl Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782293901 |
| Phone Number | 2103584000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA05485 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190597803 | TX | CSHCN | |
| 190597802 | TX | -- |
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What is the Mary Kim's unique identification number?
The Mary Kim has been assigned the NPI (National Provider Identifier) Number 1275720930 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mary Kim located?
The Mary Kim is located at 7703 Floyd Curl Dr, San Antonio, TX 782293901.
What is Mary Kim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Kim's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275720930 to Mary Kim?
The Centers for Medicare & Medicaid Services originally issued the 1275720930 to Mary Kim on 2007-09-26.
As of what date was the information regarding Mary Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-25.