Organization Active NPI

Gyu W Kim MD

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1982852174
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GYU W KIM MD
Practice address
6322 Airline Dr
Houston, TX 77076-3506
Phone
(713) 694-7770
Fax
(713) 697-5227
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gyu W Kim, M.D
Title
M.D
Phone
(713) 694-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TX Primary

Addresses

Primary practice location

6322 Airline Dr
Houston, TX 77076-3506

Mailing address

6322 Airline Dr
Houston, TX 77076-3506
Phone (713) 694-7770

Other identifiers 1

IdentifierTypeStateIssuer
137926510MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982852174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770763506",
            "telephone_number": "713-694-7770",
            "fax_number": "713-697-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770763506",
            "telephone_number": "713-694-7770",
            "fax_number": "713-697-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYU W KIM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GYU",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "713-694-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137926510",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.