Dr. Peter Tae Wan Kim
Transplant Surgeon
3410 Worth St Ste 950
Dallas
, Texas 75246-2064
Dr. Peter Tae Wan Kim
Transplant Surgeon
3410 Worth St Ste 950
Dallas
, Texas 75246-2064
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About
Features
Specialties
- Transplant Surgeon
Languages spoken
- English
Location
First Address
- Dr. Peter Tae Wan Kim
- 3410 Worth St Ste 950
- Dallas, TX
- Zip : 75246-2064
- Phone :
Second Address
- Dr. Peter Tae Wan Kim
- 3410 Worth St Ste 950
- Dallas, TX
- Zip : 75246-2064
- Phone : (214) 820-2050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgeon | N1367 | TX |
National Provider Identifier
| NPI | 1437315264 |
|---|---|
| Provider Name | Dr. Peter Tae Wan Kim |
| First Address | Dallas, TX 75246-2064 |
| Second Address | Dallas, TX 75246-2064 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2008 |
| Last Update Date | 20/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 304424001 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.