KYU TAE KIM

HOUSTON, TX
NPI1679072458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP137463)
Enumeration Date2018-02-07
Last Update Date2019-03-27
Business Address
KYU TAE KIM CRNA
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
Mailing Address
KYU TAE KIM CRNA
P O BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991