Cleveland Diagnostic Center PA
Organization Active NPI Pulmonary Disease Physician · Cleveland, TX
NPI 1134319403 · NPPES record last updated Aug 1, 2007
Key facts
- NPI
- 1134319403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- F5978 (TX)
- Legal business name
- CLEVELAND DIAGNOSTIC CENTER PA
- Practice address
- 307 East Crockett
Cleveland, TX 77327 - Phone
- (281) 592-0557
- Fax
- (281) 592-1761
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Myung Jin Kim, MD
- Title
- President
- Phone
- (281) 592-0557
Practitioners 1
-
Myung Jin Kim, MD
National Provider Directory
Locations
307 E Crockett St
Cleveland, TX 77327
Phone (281) 592-0557
203 N College Ave
Ste 1001
Cleveland, TX 77327
Phone (281) 592-2426
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | F5978 | TX | |
| Pulmonary Disease Physician |
207RP1001X | F5978 | TX | Yes |
Addresses
Primary practice location
307 East Crockett
Cleveland, TX 77327
Mailing address
307 East Crockett
Cleveland, TX 77327
Phone (281) 592-0557
Other providers in Cleveland, TX
- Shaneika Nicole Citizen
- City of Cleveland
- Carla Andrea Claros
- Cleveland Clinic Corp
- Cleveland Dental PLLC
- Cleveland Emergency Group PA
- Cleveland General Hospital LLC
- Cleveland Imaging and Surgical Hospital, L.L.C.
- Cleveland Independent School District
- Cleveland Medical Clinic Family
All providers in Cleveland, TX · Pulmonary Disease Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.