Revolution Med Group, Llc

LBN: Revolution Med Group, Llc
Revolution Med Group, Llc is an health care organization with primary practice located at 5207 Heritage Ave , Colleyville TX 76034-5915. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Revolution Med Group, Llc can be contacted via phone (817) 355-8000, or through Bullard, Jeffrey via phone (817) 355-8000.

Contact Information

Primary practice address
5207 Heritage Ave Colleyville TX 76034-5915
Phone: (817) 355-8000
Fax: (817) 553-2179
Website:
Map and Directions
Authorized official contact:
Name: Bullard, Jeffrey Doctor of Medicine (MD)
Phone: (817) 355-8000

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1457887093
LBN Legal business name Revolution Med Group, Llc
DBA Doing business as
Authorized official Bullard, Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2017
Last updated May 2nd, 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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