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REVIVEME HEALTHCARE, PLLC
NPI 1801659453
Clinic/Center - Primary Care in Grand Prairie, TX

Active since February 05, 2024
2637 FAIRMONT DR,, GRAND PRAIRIE, TX 75052(817) 964-8349 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reviveme Healthcare, Pllc NPPES

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

REVIVEME HEALTHCARE, PLLC (NPI 1801659453) is a healthcare organization registered as a primary care in Grand Prairie, Texas and active in the NPI registry since February 2024. The organization lists Amanda Tejera, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1801659453
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREVIVEME HEALTHCARE, PLLC
Location Address2637 FAIRMONT DR,Grand Prairie, TX 75052-4009
Mailing Address1301 E. Debbie Lane, Suite 102, #1525Mansfield, TX 76063-3376
Phone(817) 964-8349
Organization SubpartNo
Authorized OfficialAmanda TejeraManaging Member · (817) 964-8349
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 3, 2024
✔ NPI 1801659453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2637 FAIRMONT DR,, Grand Prairie, TX 75052
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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 Reviveme Healthcare, PLLC's NPI number?

The NPI number for Reviveme Healthcare, PLLC is 1801659453. It was assigned to this organization in the NPPES registry on February 5, 2024.

Where is Reviveme Healthcare, PLLC located?

Reviveme Healthcare, PLLC is located at 2637 Fairmont Dr,, Grand Prairie, TX 75052. The listed phone number is (817) 964-8349.

What is Reviveme Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Reviveme Healthcare, PLLC was last updated on February 5, 2024. 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.