Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revival Medical Group PLLC

Organization Obesity Medicine (Family Medicine) Physician · NPI 1093650806

Revival Medical Group PLLC is an Obesity Medicine (Family Medicine) Physician in Kyle, Texas. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1300 Dacy Ln Bldg 2 Ste 270
Kyle, TX 78640-4192
Phone: (310) 745-9935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1093650806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Lane — Owner · (512) 757-3259
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address119 Crest View Dr, Lakeway, TX 78734-5207