PONDWORKS PA
Psychiatric at Executive Center Dr, Austin, TX

License number
Texas L8767
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. BERNARD C. KIM M.D.
Title: PHYSICIAN
Phone: (512) 371-9555
Address
Address
3636 Executive Center Dr STE G70, Austin, TX 78731
National Provider ID: 1124139506
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PONDWORKS, PA

Austin, TX

Doing business as:
Bernard Kim, M.D., PA<br>Pondworks, PA
Registration:
Aug 30, 2004
Addresses:
3636 Executive Ctr Dr STE G70, Austin, TX 78731 (Mailing)
3724 Jefferson St, Austin, TX 78731
4102 Wildwood Rd, Austin, TX 78722
State ID:
0800383650
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member:
Bernard Kim (President, Treasurer, Secretary, Director, Member)
Agent:
Tricia Kim,3636 Executive Ctr Dr, Austin, TX 78731 (Physical)
TIN:
32035547192

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