Reviveme Healthcare, Pllc

LBN: Reviveme Healthcare, Pllc
Reviveme Healthcare, Pllc is an health care organization with primary practice located at 2637 Fairmont Dr, , Grand Prairie TX 75052-4009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Reviveme Healthcare, Pllc can be contacted via phone (817) 964-8349, or through Tejera, Amanda via phone (817) 964-8349.

Contact Information

Primary practice address
2637 Fairmont Dr, Grand Prairie TX 75052-4009
Phone: (817) 964-8349
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tejera, Amanda NURSE PRACTITIONER
Phone: (817) 964-8349

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1801659453
LBN Legal business name Reviveme Healthcare, Pllc
DBA Doing business as
Authorized official Tejera, Amanda NURSE PRACTITIONER
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2024
Last updated Feb 5th, 2024 - about 10 months 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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