Kim, Gina E.

Kim, Gina E. is an individual health care provider with primary practice located at 1229 Campbell Rd , Houston TX 77055-6401. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kim, Gina E. can be contacted via phone (713) 467-6600.

Contact Information

Primary practice address
1229 Campbell Rd Houston TX 77055-6401
Phone: (713) 467-6600
Fax: (713) 467-7914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5253T Texas

Profile Details

NPI number 1306832936
LBN Legal business name Kim, Gina E.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 18th, 2011 - about 15 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 1306832936 NPPES
Texas MEDICAID 104405902

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