Basic Information
| Provider Information | |||||||||
| NPI: | 1225103872 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KYPUROS | ||||||||
| FirstName: | ORLANDO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7585 KITTY HAWK | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | CONVERSE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2104682323 | ||||||||
| FaxNumber: | 2106674044 | ||||||||
| Practice Location | |||||||||
| Address1: | 7585 KITTY HAWK | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | CONVERSE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2104682323 | ||||||||
| FaxNumber: | 2106674044 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | M5312 | TX | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | M5312 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.