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

Reviveme Healthcare, PLLC

Organization Primary Care Clinic/Center · NPI 1801659453

Reviveme Healthcare, PLLC is a Primary Care Clinic/Center in Grand Prairie, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2637 Fairmont Dr
Grand Prairie, TX 75052-4009
Phone: (817) 964-8349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1801659453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Tejera — Managing Member · (817) 964-8349
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 3, 2024
Mailing address1301 E. Debbie Lane, Suite 102, #1525, Mansfield, TX 76063-3376

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