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Grace Kim
NPI 1679991897 · on the registry since 2014
Practice
- Address
- 925 E Southlake Blvd
Suite 100
Southlake, TX 76092 - Phone
- (817) 912-8800
- Organisation at this address
- Btdi Jv Llp
Prism Dermatology, Pllc
Freedom Vision Consultants PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 1935 Medical District Dr, Dallas, TX
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 390200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas