Kim, Stanley H

Kim, Stanley H is an sole proprietor health care provider with primary practice located at 8333 Cross Park Dr , Austin TX 78754-5154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Kim, Stanley H can be contacted via phone (512) 494-6024.

Contact Information

Primary practice address
8333 Cross Park Dr Austin TX 78754-5154
Phone: (512) 494-6024
Fax: (866) 563-6244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X L6472 Texas
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X L6472 Texas

Profile Details

NPI number 1871578252
LBN Legal business name Kim, Stanley H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated May 17th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871578252 NPPES
Texas MEDICAID 162671501

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