REVIVE HEALTHCARE CLINIC LLC
NPI 1174349104
Nurse Practitioner - Primary Care in Irving, TX

Q: What is Revive Healthcare Clinic LLC's NPI number?

The NPI number for Revive Healthcare Clinic LLC is 1174349104. It was assigned to this organization in the NPPES registry on November 25, 2024.

Q: What is Revive Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since November 25, 2024

1221 WEST AIRPORT FWY STE# 209 UNIT B, IRVING, TX 75062(214) 777-2703(817) 865-1530 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Revive Healthcare Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE HEALTHCARE CLINIC LLC (NPI 1174349104) is a healthcare organization registered as a primary care in Irving, Texas and active in the NPI registry since November 2024. The organization lists Chekwube Martha Okoli, Owner, as its authorized official.

NPPES Registry Identity

NPI1174349104

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameREVIVE HEALTHCARE CLINIC LLC

Location Address1221 WEST AIRPORT FWY STE# 209 UNIT BIrving, TX 75062

Mailing Address1221 West Airport Fwy Ste# 209 Unit BIrving, TX 75062 · (214) 777-2703 · Fax (817) 865-1530

Phone(214) 777-2703

Fax(817) 865-1530

Organization SubpartNo

Authorized OfficialChekwube Martha OkoliOwner · (469) 567-9974

Enumeration DateNovember 25, 2024

Last NPPES UpdateMarch 18, 2025

NPPES CertifiedMarch 18, 2025

✔ NPI 1174349104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Other Names 1

Former Legal Business NameRevive Healthcare Clinic Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Healthcare Clinic LLC's NPI number?

The NPI number for Revive Healthcare Clinic LLC is 1174349104. It was assigned to this organization in the NPPES registry on November 25, 2024.

Where is Revive Healthcare Clinic LLC located?

Revive Healthcare Clinic LLC is located at 1221 West Airport Fwy Ste# 209 Unit B, Irving, TX 75062. The listed phone number is (214) 777-2703.

What is Revive Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Revive Healthcare Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Revive Healthcare Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Healthcare Clinic LLC was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.