Provider Demographics
NPI:1467984690
Name:KIM, SAMUEL YOUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:YOUNG
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77492-0400
Mailing Address - Country:US
Mailing Address - Phone:281-560-3321
Mailing Address - Fax:281-505-3895
Practice Address - Street 1:23331 GRAND RESERVE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4850
Practice Address - Country:US
Practice Address - Phone:281-560-3321
Practice Address - Fax:281-505-3895
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS8057208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation