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Mary Kim, PA-C
Medical Physician Assistant in San Antonio, Texas
NPI 1275720930

Mary Kim is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Mary Kim practices in San Antonio, TX and has the professional credentials of PA-C. The NPI Number for Mary Kim is 1275720930 and holds a License No. PA05485 (Texas).

The current practice location address for Mary Kim is 4502 Medical Dr, San Antonio, TX and can be reached out via phone at 210-358-4000.

Location: 4502 Medical Dr, San Antonio, TX, 78229-3901
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Provider Profile Details
NPI Number
1275720930
Provider Name
Mary Kim
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4502 Medical Dr, San Antonio, TX, 78229-3901
Phone Number
210-358-4000
Fax Number
Provider Enumeration Date
09/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
190597803 01 TX CSHCN
190597802 05 TX
institution
Provider Business Practice Location Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-4000
Fax Number
person
Provider Business Mailing Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA05485 (Texas)
Definition
Definition to come...
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