Revive Medical, Pllc

LBN: Revive Medical, Pllc
Revive Medical, Pllc is an health care organization with primary practice located at 12285 Pellicano Drive Suite A2, El Paso TX 79936. The organization recently has 9 registered licenses in different health care specialties including Agencies / Home Infusion, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Emergency Care, Ambulatory Health Care Facilities / Infusion Therapy, Laboratories / Clinical Medical Laboratory, Suppliers / Emergency Response System Companies, Transportation Services / Land Transport, Transportation Services / Non-emergency Medical Transport (VAN), Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Ambulatory Health Care Facilities / Emergency Care is the primary health care specialty. Revive Medical, Pllc can be contacted via phone (915) 248-4863, or through Janke, Clifford Owen via phone (915) 248-4863.

Contact Information

Primary practice address
12285 Pellicano Drive Suite A2 El Paso TX 79936
Phone: (915) 248-4863
Fax: (855) 891-7827
Website:
Map and Directions
Authorized official contact:
Name: Janke, Clifford Owen Doctor of Medicine (MD)
Phone: (915) 248-4863

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Emergency Care 261QE0002X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Emergency Response System Companies 333300000X
Transportation Services / Land Transport 3416L0300X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X

Profile Details

NPI number 1679239180
LBN Legal business name Revive Medical, Pllc
DBA Doing business as
Authorized official Janke, Clifford Owen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2021
Last updated Dec 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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