Kim, Peter Tae Wan
Kim, Peter Tae Wan is an sole proprietor health care provider with primary practice located at 3410 Worth St Ste 950 , Dallas TX 75246-2064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Kim, Peter Tae Wan can be contacted via phone (214) 820-2050.Contact Information
Primary practice address
3410 Worth St Ste 950
Dallas TX 75246-2064
Phone: (214) 820-2050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | N1367 | Texas |
Profile Details
| NPI number | 1437315264 |
|---|---|
| LBN Legal business name | Kim, Peter Tae Wan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2008 |
| Last updated | Nov 20th, 2012 - about 12 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 | 1437315264 | NPPES |
| Texas | MEDICAID | 304424001 |
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