| Dr Rebecca Nonesupplied Kim, MD | |
|
4100 Everett Dr Ste 400, Kyle, TX 78640-6147 | |
| (512) 295-1333 | |
| (512) 406-7327 |
| Full Name | Dr Rebecca Nonesupplied Kim |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4100 Everett Dr Ste 400, Kyle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467656033 | NPI | - | NPPES |
| 350763403 | Medicaid | TX | |
| 3805159053 | Other | MYUTMB 3805159053-COMMERCIAL NUMBER | |
| 350763402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | N2600 (Texas) | Primary |
| Entity Name | Ascension Seton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073536900 PECOS PAC ID: 5193634293 Enrollment ID: O20031126000173 |
| Entity Name | Austin Regional Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rebecca Nonesupplied Kim, MD 6210 E Highway 290, Austin, TX 78723-1142 Ph: (512) 483-9596 | Dr Rebecca Nonesupplied Kim, MD 4100 Everett Dr Ste 400, Kyle, TX 78640-6147 Ph: (512) 295-1333 |
Dr. David Cox Needham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-6256 | |
Dr. Amit D Salkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Julia Blood, Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Shivani Mehta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Ste 400, Kyle, TX 78640 Phone: 512-295-1333 | |
Raymond Teoh, Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Dr. Erin Rhae Chaffe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2810 Dacy Ln, Kyle, TX 78640 Phone: 512-268-8900 Fax: 512-268-2250 |