Provider Demographics
NPI:1184652828
Name:HOVANKY, KIM THINH (MD)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:THINH
Last Name:HOVANKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 S AUSTIN AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7554
Mailing Address - Country:US
Mailing Address - Phone:512-868-6673
Mailing Address - Fax:512-819-0021
Practice Address - Street 1:3201 S AUSTIN AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7554
Practice Address - Country:US
Practice Address - Phone:512-868-6673
Practice Address - Fax:512-819-0021
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0004207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF77545Medicare UPIN
TX00151KMedicare ID - Type Unspecified