Heidi Kim | Dallas, TX • PECOS Search

Heidi Kim

Pediatrics

Allopathic & Osteopathic Physicians

1935 Medical District Dr, Dallas, TX 75235-7701

PECOS Enrollment

Based on the most recent information from CMS, provider Heidi Kim does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1912439498
Provider Type
Individual
Full Name
Kim, Heidi
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/3/2017
Last Updated
8/5/2020

Contact Information

Practice Location

1935 Medical District Dr, Dallas, TX 75235-7701

Unlisted Fax

Mailing Location

1935 Medical District Dr, Dallas, TX 75235-7701

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License S5408 Texas