P Praxis·MD
● Active Type 1 · Individual

Mary Kim, PA-C

Physician Assistant·San Antonio, TX· NPI 1275720930 · Enumerated 2007 · 18 years on NPI
Kim is 1 of 215 physician assistant providers in San Antonio and 1 of 2220 in Texas.
NPI age
18 years
Enumerated 2007-09-26
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-04-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2220 active physician assistant providers in Texas.

NPI age
18 years
↑ 3 yr above median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-09Enumerated in NPPES
2007 2026

Where they practice

Practice location
4502 Medical Dr
San Antonio, TX 782294402
📞 2103584000
Mailing address
7703 Floyd Curl Dr
San Antonio, TX 782293901
📞 2103584000

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA05485 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (TX) 190597803 CSHCN
05 (TX) 190597802

Practice context

Part of a multi-provider practice. 1646 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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