Kim, Matthew J.
Kim, Matthew J. is an sole proprietor health care provider with primary practice located at 11041 Shadow Creek Pkwy Suite# 123, Pearland TX 77584-7402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, Matthew J. can be contacted via phone (713) 436-5550.Contact Information
Primary practice address
11041 Shadow Creek Pkwy Suite# 123
Pearland TX 77584-7402
Phone: (713) 436-5550
Fax: (713) 436-7177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K7444 | Texas |
Profile Details
| NPI number | 1023087608 |
|---|---|
| LBN Legal business name | Kim, Matthew J. |
| Credentials | MK |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Apr 21st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023087608 | NPPES |
| Texas | MEDICAID | 092460702 | |
| Texas | MEDICAID | 092460701 |
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