REVIVE WELLNESS
NPI 1326799610
General Practice in Friendswood, TX

Active since January 18, 2022
1110 S FRIENDSWOOD DR, FRIENDSWOOD, TX 77546(409) 299-4785(409) 220-8348 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 3, 2022, Jan 21, 2022 (2 updates tracked since 2022).

About Revive Wellness NPPES

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

REVIVE WELLNESS (NPI 1326799610) is a healthcare organization registered as a general practice in Friendswood, Texas and active in the NPI registry since January 2022. The organization lists Marissa Deluna, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1326799610
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJACKSON SURGICAL CONSULTANTS P.A.
Location Address1110 S FRIENDSWOOD DRFriendswood, TX 77546-5698
Mailing Address12337 Jones Rd Ste 427Houston, TX 77070-4951 · (409) 299-4785 · Fax (409) 220-8348
Fax(409) 220-8348
Organization SubpartNo
Authorized OfficialMarissa DelunaCredentialing Manager · (713) 800-3359
Enumeration DateJanuary 18, 2022
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1326799610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedHealth and Wellness CoachTaxonomy 171400000X
1110 S FRIENDSWOOD DR, Friendswood, TX 77546

Other Names 1

Doing Business AsRevive Wellness

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

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 Jackson Surgical Consultants P.A.'s NPI number?

The NPI number for Jackson Surgical Consultants P.A. is 1326799610. It was assigned to this organization in the NPPES registry on January 18, 2022. The provider is doing business as Revive Wellness.

Where is Jackson Surgical Consultants P.A. located?

Jackson Surgical Consultants P.A. is located at 1110 S Friendswood Dr, Friendswood, TX 77546. The listed phone number is (409) 299-4785.

What is Jackson Surgical Consultants P.A.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Jackson Surgical Consultants P.A. accept?

Health plans from Blue Cross and Blue Shield of Texas list Jackson Surgical Consultants P.A. 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 Jackson Surgical Consultants P.A. was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.