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MIRAE CLINIC
NPI 1164668588
Clinic/Center in Dallas, TX

Active since January 07, 2009
2035 ROYAL LN STE 280, DALLAS, TX 75229(214) 352-6677(877) 643-4072 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mirae Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRAE CLINIC (NPI 1164668588) is a healthcare organization registered as a clinic/center in Dallas, Texas and active in the NPI registry since January 2009. The organization lists David Koh, President, as its authorized official.

NPPES Registry Identity

NPI1164668588
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMIRAE CLINIC
Location Address2035 ROYAL LN STE 280Dallas, TX 75229-3268
Mailing Address2035 Royal Ln Ste 280Dallas, TX 75229-3268 · (214) 352-6677 · Fax (877) 643-4072
Phone(214) 352-6677
Fax(877) 643-4072
Organization SubpartNo
Authorized OfficialDavid KohPresident · (214) 352-6677
Enumeration DateJanuary 7, 2009
✔ NPI 1164668588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · 8306
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2035 ROYAL LN STE 280, Dallas, TX 75229
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirae Clinic's NPI number?

The NPI number for Mirae Clinic is 1164668588. It was assigned to this organization in the NPPES registry on January 7, 2009.

Where is Mirae Clinic located?

Mirae Clinic is located at 2035 Royal Ln Ste 280, Dallas, TX 75229. The listed phone number is (214) 352-6677.

What is Mirae Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mirae Clinic was last updated on January 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.