Basic Information
| Provider Information | |||||||||
| NPI: | 1326360223 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIM | ||||||||
| FirstName: | ARTHUR | ||||||||
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| Credential: | MD, JD, MBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22136 WESTHEIMER PKWY | ||||||||
| Address2: | NO. 508 | ||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774508296 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138297400 | ||||||||
| FaxNumber: | 8552887001 | ||||||||
| Practice Location | |||||||||
| Address1: | 1504 TAUB LOOP | ||||||||
| Address2: | BEN TAUB GENERAL HOSPITAL EMERGENCY CENTER | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770301608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138732626 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2010 | ||||||||
| LastUpdateDate: | 03/04/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PE0004X | N5192 | TX | N | Allopathic & Osteopathic Physicians | Emergency Medicine | Emergency Medical Services | 209800000X | N5192 | TX | N | Allopathic & Osteopathic Physicians | Legal Medicine | 207P00000X | N5192 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 212440622 | 01 | TX | CSHCN | OTHER | 212440601 | 05 | TX | MEDICAID | 8KK171 | 01 | TX | BCBS (MDACC) | OTHER | 212440621 | 05 | TX | MEDICAID |