REVIVE MEDICAL, PLLC – NPI #1679239180
Clinic/Center

REVIVE MEDICAL, PLLC is an AHC clinic located in EL PASO, TX. NPPES has assigned the NPI number 1679239180 to REVIVE MEDICAL, PLLC on November 10, 2021. 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 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Dec 15, 2021. 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 MEDICAL, PLLC below.

NPI Profile for
REVIVE MEDICAL, PLLC

NPI Number
1679239180
Enumeration Date

(more than 4 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 MEDICAL, PLLC
Primary location
12285 PELLICANO DRIVE
SUITE A2
EL PASO, TX 79936
Phone: (915) 248-4863 Fax: (855) 891-7827
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLIFFORD JANKE
MEDICAL DIRECTOR
Phone: (915) 248-4863
Updated
Certification Date
Dec 15, 2021

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.

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.