Revivify Biologics

LBN: Revivify Biologics
Revivify Biologics is an health care organization with primary practice located at 4100 Heritage Ave , Grapevine TX 76051-5714. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Revivify Biologics can be contacted via phone (817) 886-4319, or through Becker, Ellen Rose via phone (817) 886-4319.

Contact Information

Primary practice address
4100 Heritage Ave Grapevine TX 76051-5714
Phone: (817) 886-4319
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Becker, Ellen Rose AGNP
Phone: (817) 886-4319

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1952815466
LBN Legal business name Revivify Biologics
DBA Doing business as Revivify Biologics
Authorized official Becker, Ellen Rose AGNP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2017
Last updated Nov 20th, 2017 - about 7 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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