| Dr Kimi L Dart, DO | |
|
215 Oak Dr S Ste E, Lake Jackson, TX 77566-5617 | |
| (979) 258-5445 | |
| (979) 258-6030 |
| Full Name | Dr Kimi L Dart |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 19 Years |
| Location | 215 Oak Dr S Ste E, Lake Jackson, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881887867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | P6804 (Texas) | Primary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | P6804 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Luke's Health Brazosport | Lake jackson, TX | Hospital |
| Entity Name | Cls Health PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750305355 PECOS PAC ID: 7214962117 Enrollment ID: O20090424000109 |
| Entity Name | Kimi Dart, DO, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265017115 PECOS PAC ID: 6002224268 Enrollment ID: O20210428001025 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimi L Dart, DO Po Box 58538, Webster, TX 77598-8538 Ph: Not Available | Dr Kimi L Dart, DO 215 Oak Dr S Ste E, Lake Jackson, TX 77566-5617 Ph: (979) 258-5445 |
Dr. Stephanie Jo Herrera, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 215 Oak Dr S, Suite F, Lake Jackson, TX 77566 Phone: 979-299-1520 Fax: 979-299-1421 |
Dr. Thomas Mason Lunsford, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 215 Oak Dr S, Suite F, Lake Jackson, TX 77566 Phone: 979-299-1520 Fax: 979-299-1421 |