Provider Demographics
NPI:1457324592
Name:LIM, HAJIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HAJIN
Middle Name:
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:909 FROSTWOOD DR
Mailing Address - Street 2:SUITE 1.100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-338-4523
Mailing Address - Fax:713-338-5500
Practice Address - Street 1:920 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 500
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3259
Practice Address - Country:US
Practice Address - Phone:713-897-7221
Practice Address - Fax:713-897-7235
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2012-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO1999137431207RC0000X
TXP0624207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
34096011OtherBCBS OF KC INDIVIDUAL #
P00179692OtherRAILROAD MEDICARE
P00179692OtherRAILROAD MEDICARE
I20823Medicare UPIN