Provider Demographics
NPI:1235809013
Name:KYPUROS MEDICAL VENTURES LLC
Entity Type:Organization
Organization Name:KYPUROS MEDICAL VENTURES LLC
Other - Org Name:PROHEALTH INPATIENT CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:KYPUROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-468-2333
Mailing Address - Street 1:7585 KITTY HAWK RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2820
Mailing Address - Country:US
Mailing Address - Phone:210-468-2333
Mailing Address - Fax:210-667-4044
Practice Address - Street 1:7585 KITTY HAWK RD STE 201
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-2820
Practice Address - Country:US
Practice Address - Phone:210-468-2333
Practice Address - Fax:210-667-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty