Dr Matthew J Kim, MK | |
11041 Shadow Creek Pkwy, Suite# 123, Pearland, TX 77584-7402 | |
(713) 436-5550 | |
(713) 436-7177 |
Full Name | Dr Matthew J Kim |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 11041 Shadow Creek Pkwy, Pearland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023087608 | NPI | - | NPPES |
092460702 | Medicaid | TX | |
092460701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | K7444 (Texas) | Primary |
Entity Name | Legacy Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew J Kim, MK 11041 Shadow Creek Pkwy, Suite# 123, Pearland, TX 77584-7402 Ph: (713) 436-5550 | Dr Matthew J Kim, MK 11041 Shadow Creek Pkwy, Suite# 123, Pearland, TX 77584-7402 Ph: (713) 436-5550 |
Dr. Sandhya Harpavat, DMD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2015 E Broadway, Ste B, Pearland, TX 77581 Phone: 281-485-7012 Fax: 281-485-3376 | |
Brad Alan Onhaizer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2017 Broadway St, Pearland, TX 77581 Phone: 281-485-9990 Fax: 281-485-9469 | |
Anne Marie Chavez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9001 Broadway St, Pearland, TX 77584 Phone: 281-412-5852 | |
Dr. Margarita Jimenez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1901 Kirby St, Suite 109, Pearland, TX 77584 Phone: 713-512-8600 Fax: 713-340-1228 | |
Dr. Sherin Elizabeth Wesley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1901 Kirby St, 109, Pearland, TX 77584 Phone: 713-512-8600 | |
George Nikita Vailas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2006 Mistwood Ct, Pearland, TX 77584 Phone: 713-436-6417 Fax: 713-436-6418 |