Provider Demographics
NPI:1679164495
Name:KAIROS MUTLISPECIALTY CLINICS
Entity type:Organization
Organization Name:KAIROS MUTLISPECIALTY CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:C
Authorized Official - Last Name:PYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-381-5494
Mailing Address - Street 1:12610 E NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-8010
Mailing Address - Country:US
Mailing Address - Phone:469-436-3650
Mailing Address - Fax:844-846-8853
Practice Address - Street 1:341 WHEATFIELD DR STE 190
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4639
Practice Address - Country:US
Practice Address - Phone:469-436-3650
Practice Address - Fax:844-846-8853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty