Revitaderm PLLC
Revitaderm PLLC is a Registered Nurse in Newark, Texas. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
110 Cheyenne Trl SNewark, TX 76071-3202
Phone: (817) 992-5066
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X |
|---|
Record details
| NPI number | 1518770494 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brooke Mackie — Rn · (817) 992-5066 |
| NPI enumerated | January 27, 2025 |
| Last updated in NPPES | January 27, 2025 |
| Certification date | January 27, 2025 |
| Mailing address | Po Box 1037, Rhome, TX 76078-1037 |