REVIVE MEN'S HEALTH & WELLNESS
NPI 1235901711
Nurse Practitioner - Family in College Station, TX

Active since October 26, 2023
2700 EARL RUDDER FWY S STE 2100, COLLEGE STATION, TX 77845(979) 282-5099 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2023, Oct 26, 2023 (2 updates tracked since 2023).

About Revive Men's Health & Wellness NPPES

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

REVIVE MEN'S HEALTH & WELLNESS (NPI 1235901711) is a healthcare organization registered as a family in College Station, Texas and active in the NPI registry since October 2023. The organization lists Brandi Morales, Np, as its authorized official.

NPPES Registry Identity

NPI1235901711
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVIVE MEN'S HEALTH & WELLNESS
Location Address2700 EARL RUDDER FWY S STE 2100College Station, TX 77845-5038
Mailing Address14962 Fm 3090 RdAnderson, TX 77830-7127
Organization SubpartNo
Authorized OfficialBrandi MoralesNp · (979) 282-5099
Enumeration DateOctober 26, 2023
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1235901711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2700 EARL RUDDER FWY S STE 2100, College Station, TX 77845

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
2700 EARL RUDDER FWY S STE 2100
COLLEGE STATION, TX 77845
Nurse Practitioner (Family)
2700 EARL RUDDER FWY S STE 2100
COLLEGE STATION, TX 77845

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 Men's Health & Wellness's NPI number?

The NPI number for Revive Men's Health & Wellness is 1235901711. It was assigned to this organization in the NPPES registry on October 26, 2023.

Where is Revive Men's Health & Wellness located?

Revive Men's Health & Wellness is located at 2700 Earl Rudder Fwy S Ste 2100, College Station, TX 77845. The listed phone number is (979) 282-5099.

What is Revive Men's Health & Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Revive Men's Health & Wellness was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.