Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 6346T | TX |
NPI | 1003891425 |
---|---|
Provider Name | Dr. Kimberly H Tham |
First Address | Pearland, TX 77584-1834 |
Second Address | Pearland, TX 77584-1834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 07/03/2017 |