David Kim MD Bariatric Services PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

L6982 Issued in TX

Legal business name

DAVID KIM MD BARIATRIC SERVICES PLLC

Practice address

410 Pine Dr
Southlake, TX 76092-7406

Phone

(817) 821-3568

NPI assigned

Mar 29, 2013

Last updated

Mar 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Kim, MD

Title

Manager

Phone

(817) 821-3568

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1457694333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PINE DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PINE DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927406",
            "telephone_number": "817-821-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KIM MD BARIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-821-3568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L6982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.