Individual ProviderHwan Wook KimThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address6411 Fannin St, Houston, TX 77030-1501(713) 486-5139PECOS EnrollmentBased on the most recent information from CMS, provider Hwan Wook Kim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114649290Provider TypeIndividualFull NameKim, Hwan WookCredentialMDGenderMaleSole ProprietorNoEnumeration Date9/14/2022Last Updated9/14/2022Contact InformationPractice LocationPractice Address6411 Fannin St, Houston, TX 77030-1501Phone(713) 486-5139Fax(713) 512-7203Mailing LocationMailing Address6400 Fannin St Ste 2850, Houston, TX 77030-1540Phone(713) 486-5139Fax(713) 512-7203Provider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense742048Texas