Organization Active NPI

Kairos Health Clinics

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1477057073
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KAIROS HEALTH CLINICS
Practice address
525 Blossom St
Webster, TX 77598
Phone
(832) 304-2420
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Hill
Title
Director of Mso Services
Phone
(469) 437-4675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

525 Blossom St
Webster, TX 77598

Mailing address

9101 LBJ Fwy Ste 310
Dallas, TX 75243-1901
Phone (469) 437-4675

Other names 1

  • Webster Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1477057073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 LBJ FWY STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431901",
            "telephone_number": "469-437-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "832-304-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR OF MSO SERVICES",
        "authorized_official_telephone_number": "469-437-4675"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Webster Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.