Revive Health
Internal Medicine in Dallas, TX. Organization (NPI-2).
NPI number1114643285
StatusActive
Last updated in NPPESJan 5, 2024
Details
- NPI
- 1114643285
- Entity type
- Organization (NPI-2)
- Legal business name
- Revive Health
- Organization subpart
- No
- Enumeration date
- Oct 19, 2022
- Certification date
- Jan 5, 2024
- Last updated
- Jan 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
10611 Garland Rd Ste 114Dallas, TX 75218-2686
Phone 817-250-4906
Mailing address
10611 Garland Rd Ste 114Dallas, TX 75218-2686
Phone 817-250-4906
Authorized official
Arifa Abid
Owner
8172504906
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