YONG SIK KIM MD PLLC NPI 1578703989

NPI Information

  • NPI: 1578703989
  • Provider Name: YONG SIK KIM MD PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Other Name: GREEN HEALTH CLINIC
  • CLIA Number: 45D1094141
  • Address: 8945 LONG POINT RD
    #114
    HOUSTON, TX
    ZIP 77055
  • Phone: (713) 932-0240

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NPI Details

YONG SIK KIM MD PLLC is a primary care clinic center in Houston, TX. YONG SIK KIM MD PLLC NPI is 1578703989. The provider is registered as an organization entity type.
The provider Other Name Is Green Health Clinic.

The provider's business location address is:

8945 LONG POINT RD
#114
HOUSTON, TX
ZIP 77055-034
Phone: (713) 932-0240
Fax: (713) 932-0252

The provider's authorized official is Yong S Kim .
The authorized official title is President and has the following contact phone number (713) 932-0240.

The CLIA number assigned to this NPI record is 45D1094141 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2009 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareM1834TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I42588MEDICARE UPINTEXAS
2OODV19VMEDICARE OSCAR/CERTIFICATIONTEXAS
3176400301MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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