REVIVE WOUND CARE PLLC – NPI #1659199008
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

REVIVE WOUND CARE PLLC is an AHC clinic located in DRIPPING SPRINGS, TX. NPPES has assigned the NPI number 1659199008 to REVIVE WOUND CARE PLLC on October 02, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVIVE WOUND CARE PLLC below.

NPI Profile for
REVIVE WOUND CARE PLLC

NPI Number
1659199008
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REVIVE WOUND CARE PLLC
Primary location
28496 RANCH ROAD 12
STE 200 # 105
DRIPPING SPRINGS, TX 78620
Phone: (951) 760-6216 Fax:
Mailing address
13423 BLANCO RD UNIT 3255
SAN ANTONIO, TX 78216-2187
Phone: (951) 760-6216 Fax:
Organization Subpart
No
Authorized Official
JOHANNES NEUENDORF
OWNER
Phone: (760) 809-8654
Updated
Certification Date
Sep 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
251E00000X
- Home Health
208D00000X
- General Practice

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.