OrganizationActive
Mirae Clinic
NPI 1164668588 · Clinic/Center · Dallas, TX
Mirae Clinic is a Clinic/Center organization in Dallas, TX (NPI 1164668588).
Provider details
- NPI number
- 1164668588
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Koh, President(214) 352-6677
- License
- 8306 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2035 Royal Ln Ste 280
Dallas, TX 75229-3268
Phone: (214) 352-6677
Fax: (877) 643-4072
Street-level locationGet directions
Mailing address
2035 Royal Ln Ste 280
Dallas, TX 75229-3268
Registry dates
- Enumerated
- 2009-01-07
- Last updated
- 2009-01-07
Frequently asked questions
- What is Mirae Clinic's NPI number?
- Mirae Clinic's National Provider Identifier (NPI) is 1164668588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mirae Clinic?
- Mirae Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mirae Clinic located?
- Mirae Clinic's practice location on file with NPPES is 2035 Royal Ln Ste 280, Dallas, TX 75229-3268.
- What is Mirae Clinic's phone number?
- The practice phone number listed in the NPPES registry for Mirae Clinic is (214) 352-6677.
- Who is the authorized official for Mirae Clinic?
- The authorized official listed on Mirae Clinic's NPPES record is David Koh, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mirae Clinic's NPI active?
- Yes — Mirae Clinic's NPI (1164668588) is active in the NPPES registry as of the last update on 2009-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.