Provider Demographics
NPI:1033608930
Name:KAIROS MULTISPECIALTY CLINICS
Entity Type:Organization
Organization Name:KAIROS MULTISPECIALTY CLINICS
Other - Org Name:VASCULAR HEALTH INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN/CLINICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BETTERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-436-3650
Mailing Address - Street 1:9101 LBJ FWY STE 310
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1901
Mailing Address - Country:US
Mailing Address - Phone:469-437-4675
Mailing Address - Fax:469-437-4178
Practice Address - Street 1:530 CLARA BARTON BLVD STE 250
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5781
Practice Address - Country:US
Practice Address - Phone:469-436-3650
Practice Address - Fax:844-846-8853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM23932471V0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471V0106XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular-Interventional TechnologyGroup - Single Specialty