P Praxis·MD
● Active Type 1 · Individual

Jongyeol Kim, MD

Psychiatry & Neurology·Lubbock, TX· NPI 1306822242 · Enumerated 2005 · 20 years on NPI
Kim is 1 of 2 psychiatry & neurology providers in Lubbock and 1 of 268 in Texas.
NPI age
20 years
Enumerated 2005-12-22
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active psychiatry & neurology providers in Texas.

NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 73% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
3601 4th St # MS 8321
Lubbock, TX 794300002
📞 8067434999
Mailing address
3601 4th St # MS 8321
Lubbock, TX 794300002
📞 8067434999

Specialties

  • Psychiatry & Neurology Primary
    Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic...
    TX license #P4585 taxonomy 2084N0600X
  • Psychiatry & Neurology
    A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
    TX license #42653 taxonomy 2084N0400X

Identifiers

TypeValueNotes
01 (NC) 806577 PARTNERS
01 (NC) 140KX BCBS
05 (VA) 10208416
05 (SC) Q0142A
05 (WV) 3810003890
01 7046747 AETNA
01 (NC) 182868 MEDCOST
05 (NC) 5902240

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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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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