| Ryan Sangwoo Kim, MD | |
|
388 E Highway 67, Duncanville, TX 75137-4159 | |
| (972) 269-2020 | |
| (972) 296-0992 |
| Full Name | Ryan Sangwoo Kim |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 388 E Highway 67, Duncanville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497384341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | V1807 (Texas) | Primary |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Andy M Lee Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346352648 PECOS PAC ID: 4385687441 Enrollment ID: O20050609000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Sangwoo Kim, MD 388 E Highway 67, Duncanville, TX 75137-4159 Ph: (972) 269-2020 | Ryan Sangwoo Kim, MD 388 E Highway 67, Duncanville, TX 75137-4159 Ph: (972) 269-2020 |
Dr. Andy Matthew Lee, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 388 E Hwy 67, Duncanville, TX 75137 Phone: 972-296-2020 Fax: 972-296-0992 | |
Jeffrey A. Wildridge, O.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 388 E Highway 67, Duncanville, TX 75137 Phone: 972-296-2020 Fax: 972-296-0992 |