Active NPI
Kairos Health Clinics
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1841782380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0710
- Legal business name
- KAIROS HEALTH CLINICS
- Practice address
- 6243 Retail Rd Ste 500
Dallas, TX 75231-7808 - Phone
- (469) 518-5580
- Fax
- (844) 589-8966
- NPI assigned
- May 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela R Hill
- Title
- Director
- Phone
- (469) 867-3565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0710 | TX | Primary |
Addresses
Primary practice location
6243 Retail Rd Ste 500
Dallas, TX 75231-7808
Mailing address
9101 LBJ Fwy Ste 310
Dallas, TX 75243-1901
Phone (469) 437-4675
Other names 1
- Lakewood Med Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541462400000",
"number": "1841782380",
"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",
"fax_number": "469-437-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6243 RETAIL RD STE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752317808",
"telephone_number": "469-518-5580",
"fax_number": "844-589-8966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAIROS HEALTH CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-31",
"last_updated": "2018-11-06",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "469-867-3565"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "H0710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakewood Med Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, 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.