Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hyohaeng Kim, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1871372417

Hyohaeng Kim, NURSEPRACTITIONER is a Nurse Practitioner in Southlake, Texas. Qualified in 2023, 3 years ago. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023

Practice location Address checks out

1545 E Southlake Blvd
Southlake, TX 76092-6422
Phone: (817) 748-8700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1131837 (TX)

Record details

NPI number1871372417
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 23, 2023
Mailing address4604 Timken Trl, Fort Worth, TX 76137-6173

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Southlake