Provider Demographics
NPI:1477057073
Name:KAIROS HEALTH CLINICS
Entity Type:Organization
Organization Name:KAIROS HEALTH CLINICS
Other - Org Name:WEBSTER CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF MSO SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-437-4675
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:
Practice Address - Street 1:525 BLOSSOM ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:832-304-2420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty