Dr Tae Whang Kim, MD | |
6720 Bertner Ave, Houston, TX 77030-2604 | |
(832) 355-2666 | |
Not Available |
Full Name | Dr Tae Whang Kim |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 6720 Bertner Ave, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396737359 | NPI | - | NPPES |
106121003 | Medicaid | TX | |
418065800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | D45782 (Maryland) | Secondary |
207L00000X | Anesthesiology | 57798 (Minnesota) | Secondary |
207L00000X | Anesthesiology | K6627 (Texas) | Primary |
Entity Name | Texans Anesthesia Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275733982 PECOS PAC ID: 8820171390 Enrollment ID: O20080207000456 |
Entity Name | Baylor College Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
Mailing Address | Practice Location Address |
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Dr Tae Whang Kim, MD 6720 Bertner Ave, Houston, TX 77030-2604 Ph: (832) 355-2666 | Dr Tae Whang Kim, MD 6720 Bertner Ave, Houston, TX 77030-2604 Ph: (832) 355-2666 |
Dr. Nicholas James Defilippis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2411 Fountain View Dr, Houston, TX 77057 Phone: 713-620-4000 | |
Dr. Archana Vargheese Raghavan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229 | |
Loc Tien Nguyen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8614 Majesticbrook Dr, Houston, TX 77095 Phone: 832-746-6608 | |
Dr. Tanner B Baker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2537 S Gessner Rd, Suite 200, Houston, TX 77063 Phone: 713-559-6929 | |
Hyung J Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1635 North Loop W, Houston, TX 77008 Phone: 713-540-6980 | |
Dr. Salim Khan Durrani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11777 Katy Fwy Ste 260, Houston, TX 77079 Phone: 713-973-7246 Fax: 832-553-1337 | |
January Y Tsai, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |