KAIROS MULTISPECIALTY CLINICS (NPI# 1033608930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033608930 |
| Entity Type | Organization |
| Organization Name | KAIROS MULTISPECIALTY CLINICS |
| Other Organization Name | VASCULAR HEALTH INSTITUTE |
| Practice Address |
12610 E Northwest Hwy Dallas TX 75228-8010 |
| Mailing Address |
9101 Lbj Fwy Ste 310 Dallas TX 75243-1901 |
| Practice Telephone | 4694374675 |
| Mailing Telephone | 4694374675 |
| Mailing Fax Number | 4694374178 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-11-06 |
| Authorized Official Name | LISA JACKSON (DIRECTOR OF CLAIMS AND BILLING) |
| Authorized Official Telephone | 8175653288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471V0106X |
Radiologic Technologist Specialization: Vascular-Interventional Technology |
M2393 | TX | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Vascular Health Institute | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3232 Broadway Blvd, Garland, TX 75043 | 4694374675 | 4694374871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699311399 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2019-11-18 |
| 1700435153 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2019-09-09 |
| 1316436215 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2018-05-07 |
| Street Address |
12610 E NORTHWEST HWY |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-8010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104883693 | Andrew J Martin | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2006-04-27 |
| 1699311399 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2019-11-18 |
| 1700435153 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2019-09-09 |
| 1316436215 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2018-05-07 |
| 1053584979 | Uma Chetana Mukkamalla Reddy | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2008-04-11 |
| 1750588661 | Mark Albert Thompson | Internal Medicine | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2007-07-03 |
| 1659436632 | Matthew Babich | Podiatrist | 12610 E Northwest Hwy, Dallas, TX 75228 | 2006-12-27 |
| 1427065176 | Matthew Eric Anderson | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| Taxonomy Code | 2471V0106X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Vascular-Interventional Technology |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740692623 | Angela Beschta | Radiologic Technologist | 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097752 | Houston Vascular Specialist Corp | Radiologic Technologist | 7103 S Peek Road, Richmond, TX 77407 | 2020-09-15 |
| 1093371163 | San Antonio Vascular Specialists Corp | Radiologic Technologist | 9819 Huebner Rd Bldg 4, San Antonio, TX 78240-3253 | 2019-05-14 |
| 1396370334 | Fort Worth Vascular Specialists Corp | Radiologic Technologist | 5750 Stratum Dr, Fort Worth, TX 76137-2757 | 2020-03-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.