Provider Demographics
NPI:1699854281
Name:GARGES, KIM J (MD)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:J
Last Name:GARGES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N TEXAS AVE STE 3200
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4962
Mailing Address - Country:US
Mailing Address - Phone:281-333-2727
Mailing Address - Fax:281-333-2828
Practice Address - Street 1:333 N TEXAS AVE
Practice Address - Street 2:STE 3200
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:281-333-2727
Practice Address - Fax:281-333-2828
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9782207X00000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110749204Medicaid
TX110749203Medicaid