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EXALTED WORLDWIDE PLLC NPI 1013357953


NPI Information

NPI: 1013357953
Provider Name: EXALTED WORLDWIDE, PLLC

Doing Business As: KAIROS RESTORATIVE MEDICINE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2275075

Address:
1912 LOOP 11
WICHITA FALLS, TX
ZIP 76306
Phone: (940) 318-9400
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EXALTED WORLDWIDE, PLLC is a multi-specialty clinic center in Wichita Falls, TX. EXALTED WORLDWIDE, PLLC NPI is 1013357953. The provider is registered as an organization entity type.
The provider Is Doing Business As Kairos Restorative Medicine.

The provider's business location address is:

1912 LOOP 11
WICHITA FALLS, TX
ZIP 76306-921
Phone: (940) 318-9400

The provider's authorized official is Christine Workman .
The authorized official title is Clinic Director and has the following contact phone number (940) 318-9400.

The CLIA number assigned to this NPI record is 45D2275075 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2013 and was last updated on 6/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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