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

Revivify Biologics

Organization Nurse Practitioner · NPI 1952815466

Revivify Biologics is a Nurse Practitioner in Grapevine, Texas. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

4100 Heritage Ave
Grapevine, TX 76051-5714
Phone: (817) 886-4319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1952815466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Becker — Nurse Practioner · (817) 886-4319
Other names Revivify Biologics
NPI enumeratedNovember 20, 2017
Last updated in NPPESNovember 20, 2017
Mailing address62 Main St Ste 110, Colleyville, TX 76034-2931

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