| Dr Hye Tae Kim, MD | |
|
1387 George Dieter Dr Bldg B, El Paso, TX 79936-7410 | |
| (915) 275-0224 | |
| (915) 275-0225 |
| Full Name | Dr Hye Tae Kim |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1387 George Dieter Dr Bldg B, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053331470 | NPI | - | NPPES |
| 0017JK | Other | TX | BCBS OF TEXAS |
| K1852 | Other | TX | LICENSE |
| 1581746901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K1852 (Texas) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191002002008 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hye Tae Kim, MD 1157 E 42nd St, Odessa, TX 79762-7723 Ph: (432) 550-5300 | Dr Hye Tae Kim, MD 1387 George Dieter Dr Bldg B, El Paso, TX 79936-7410 Ph: (915) 275-0224 |
Eric Sandoval, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 504 Cotton Blossom Ave, El Paso, TX 79922 Phone: 915-309-6317 | |
Mr. Jaime I Jaraba Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9999 Kenworthy St Ste 1000, El Paso, TX 79924 Phone: 915-298-3434 Fax: 915-751-7257 | |
Kristina Sinnott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Transmountain Rd Ste B, El Paso, TX 79911 Phone: 915-215-8400 Fax: 915-612-9253 | |
Roxanna Elizabeth Perez, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9849 Kenworthy St, El Paso, TX 79924 Phone: 915-215-5500 Fax: 915-215-8652 | |
Dr. Jonnalyn R. Belocura, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11345 Montwood Dr, Suite A-1, El Paso, TX 79936 Phone: 915-921-5200 Fax: 915-921-5299 | |
Dr. Leo Lawrence Altenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 N Festival Dr, Ste A, El Paso, TX 79912 Phone: 806-647-2194 Fax: 806-647-3769 | |
Pamela J Richter, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 730 East Yandell Dr, El Paso, TX 79902 Phone: 210-824-9939 Fax: 915-544-5957 |